What Is Basal-bolus Insulin Therapy For Diabetes?
“Basal-bolus” insulin therapy is a form of insulin treatment that is designed to mimic the natural pattern of insulin release seen in someone who is not diabetic. It is the “gold standard” of insulin treatment and it is the right approach to treating most people with type 1 diabetes and some people with type 2. Let’s start by remembering that we need glucose in our bloodstream at all times. It serves as the source of energy for all the cells in our body. But in order to use the glucose as fuel, most cells require insulin as well. The glucose ultimately all comes from our food, but the pattern of glucose fluctuation that we see over a day results from periods of eating and fasting. When we eat, our blood sugar levels rise and the body makes more insulin to compensate for this. A large amount of glucose absorbed into the body quickly is a called a “bolus,” and the rise and fall of insulin that accompanies our meals is called “bolus” insulin. When the body is not capable of making that insulin, we inject short-acting or “bolus” insulin to do the job. Short-acting or bolus insulins are so-called “regular” insulin or the brand name insulins NovoLog, Humalog and Continue reading >>