Can anyone who has been on insulin for a while now explain something to me?
I have read that ideally, the amount of units of basal compared to bolus should be somewhere in the vicinity of 40% basal and 60% bolus. If that is ideal, then I am way off. My doctor started me in September last year on just NPH and my dose got quite high. (65 units in the evening and about 45 in the morning) Then he added the bolus, "as needed", without an adjustment.
He did say that as long as I was taking consistent readings, and was able to do the carb counting, that I could adjust the bolus to match my readings, trying to figure out the carb ratio by trying to maintain a difference of no more than plus/minus 2 mmol/L between before meal and after. So I am doing that, and staying in the range as best I can (with the occasional hypo)
But my question is, would the numbers possibly be more consistent if I reduced the basal and increased the bolus so that the TDD ratio of basal to bolus was closer to the 4/60 I have read about?
Opinions and advise welcome. Doctor has been helpful but basically said everyone is different and it takes trial and error to adjust for optimal numbers. So I am trialing carefully and being prepared for errors with glucose tablets always on hand if I need them.