Insulin Dose Sliding Scale

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Should people on insulin change their doses on their own?

Definitely, yes, if you understand which insulin to change, and the effects of meals and exercise. In fact, adjusting insulin doses is critical to successful insulin pump and basal/bolus insulin therapy.

Many doctors advise use of a "sliding scale" of short-acting insulin adjustments, based upon blood sugar levels before meals. I am very uncomfortable with this concept, as it is "reactive" rather than "proactive." Other factors, such as the size of the upcoming meal (especially dose adjustments...
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