LS wears an insulin pump and uses lispro insulin. LS has an average basal rate of 0.6 units and hour, a 1:15 carb ratio and a 1:50 correction ratio. Based on the ambulatory glucose profile, LS is experiencing elevated glucose levels from 4am to 7am. To get glucose to target, what is the best next step?
- Add basal insulin glargine to prevent Somogyi effect
- Make sure LS isn’t consuming carbohydrates after 10pm
- Ask LS to double check their CGM insertion site
- Increase the basal rate to prevent glucose elevations
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