Even if you've been doing everything you can to manage your diabetes, you may still
need more control over your blood sugar. This doesn't mean that you haven't been
doing everything right. Diabetes changes over time. The most important thing about
managing diabetes is finding the diabetes care plan that works best for you.
What is basal-bolus insulin therapy?
In the body of a person without diabetes, insulin works to control blood sugar:
- Insulin is released in steady amounts, day and night, to help control blood sugar
between meals and during sleep
- Insulin is also released in bursts to help control blood sugar from meals
Someone with diabetes may need help controlling blood sugar in both ways:
- Insulin therapy that helps you control blood sugar between meals and during sleep
is called long-acting or basal insulin
- Insulin therapy that helps you control blood sugar from meals is called bolus insulin , meaning itʼs released in a burst. NovoLog®
is a bolus insulin
When you need more control over your blood sugar levels, your doctor may suggest
basal-bolus therapy, also called intensive insulin therapy. Basal-bolus therapy
is recommended for people with type 1 diabetes. It may also be recommended for people
with type 2 diabetes who need better blood sugar control.
People on basal-bolus therapy monitor their blood sugar levels closely and take
insulin doses often. The goal of this kind of insulin therapy is to mimic the way
blood sugar is controlled naturally.
Your basal-bolus therapy care plan
In addition to changes in diet and exercise, your basal-bolus therapy care plan
will include taking a long-acting basal insulin dose along with a dose of NovoLog®
at mealtime up to 3 times daily.
This combination imitates the body's natural insulin response and has been shown
to help people with diabetes lower their A1C levels.
It will also be important to:
- Monitor your blood sugar levels often
- Follow your meal and exercise plans closely
- Communicate with your diabetes care team regularly
Basal-bolus therapy is recommended for appropriate patients by the American Diabetes
Association (ADA) and the American Association of Clinical Endocrinologists (AACE).
For more information on intensive insulin therapy, talk with your diabetes care
team. Together, you can decide if it is right for you. For help talking to your
doctor, try using our Doctor Discussion Guide.