BT is heading to the south of France for a 25th wedding anniversary vacation. They usually take 32 units of glargine at 10 PM each night along with 5-7 units of bolus insulin with meals. There is a nine hour time difference between the United States and France.
They ask you how to adjust their basal insulin. What is the best response?
- Split the glargine into 16 units and take it twice a day to maintain blood glucose stability.
- Try to get an insulin pump before heading on vacation to improve insulin delivery flexibility.
- Continue taking the glargine every 24 hours regardless of time zone differences.
- Take the bolus insulin with each meal and hold the glargine for 9 hours.
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