What are some expert tips for managing diabetes with basal insulin?
### Expert Tips for Managing Diabetes with Basal Insulin
1. **Timing of Injection**: It's generally advised to take basal insulin later in the day (midday or later). This helps avoid high blood sugar levels overnight. However, newer basal insulins may have different timing requirements, so always consult your doctor.
2. **Monitoring Blood Sugar**: Use tools like fingersticks, glucose sensors, or HbA1c tests to monitor your blood sugar levels. This helps determine if your insulin is working properly.
3. **Missed Doses**: If you miss a dose, don't double up. Take it when you remember and try to get back on schedule gradually. Consult your doctor for specific instructions.
4. **Travel Tips**: Always carry a travel letter from your healthcare provider and bring at least three times the supplies you think you'll need. Keep your supplies in your carry-on and maintain insulin at room temperature or lower.
5. **Adjusting Doses**: Only make small dose adjustments based on at least two to three days of glucose data. This helps avoid both hypoglycemia and hyperglycemia.
6. **Diet and Medication**: Your basal insulin dose is for maintaining blood sugar levels independent of eating. High sugars after eating shouldn't be treated by increasing your basal insulin dose. Consult your doctor for the best way to adjust your doses.
7. **Questions to Ask Your Doctor**: Ask about treatments with less risk for low sugars, less weight gain, and better sugar control. Inquire about other diabetes medications, different basal insulins, and whether you're a candidate for a continuous glucose monitor.
8. **Community Support**: Connect with diabetes communities for support and advice. They can help you navigate your diabetes management journey.