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#433 CGMs, Insulin, and How to Adjust Diabetes Meds to Glucose Patterns

The Curbsiders Internal Medicine Podcast

NOTE

Balancing Insulin Dosage for Improved Blood Sugar Control

Monitoring and adjusting insulin dosage for a patient with diabetes can involve analyzing their continuous glucose monitoring data to understand patterns of blood sugar fluctuations, particularly during the night. Lowering basal insulin for a patient with CKD3 may be necessary to prevent nighttime hypoglycemia. Despite concerns about high A1C levels, reducing insulin dosage can lead to better blood sugar control by preventing nightly lows and subsequent sugar consumption. Additionally, the body's response to low blood sugar can continue for about 24 hours, causing decreased insulin sensitivity and potentially leading to persistently high blood sugar levels.

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