Detail (Long)
Monitor for signs of overbasalization during insulin tx, such as basal dose exceeding ∼0.5 units/kg/day, significant bedtime-to-morning or postprandial-to-preprandial glucose differential, occurrences of hypoglycemia (aware or unaware), and high glycemic variability. When overbasalization is suspected, a thorough re-eval should occur promptly to further tailor tx to the individual’s needs. [E]