Diabetech - Diabetes Tech, Research, News How to Optimize Basal Insulin for Better Glucose Stability - ODT
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Dec 29, 2025 Gary Scheiner, a certified diabetes care and education specialist and founder of Integrated Diabetes Services, shares his expertise on optimizing basal insulin for better glucose stability. He explains the critical role of basal insulin in managing liver glucose and how incorrect settings can lead to highs and lows. Listeners learn about common misconceptions, the effects of various factors on basal needs, and practical tips for testing and adjusting insulin. Gary also highlights the advantages of advanced diabetes technology like pumps and automated systems.
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Basal Matches Liver Output, Not Meals
- Basal insulin is the continuous low-level insulin that matches liver glucose output, not food-related insulin.
- If basal is correct, glucose stays steady between meals and overnight, simplifying overall management.
Set Basal Before Tweaking Boluses
- If basals are too high you'll trend down and risk hypoglycemia; if too low you'll trend up and chase highs with boluses.
- Level basal settings first before fine-tuning bolus settings to build a stable foundation.
Use Temp Basals For Planned Events
- Use temporary basal reductions or increases for planned events like long exercise, illness, or high-fat meals.
- Start adjustments 60–90 minutes before activity and set duration to cover the event.
