When to Consider Treatment Intensification Beyond Basal Insulin

Definition of overbasalization: the titration of basal insulin beyond an appropriate dose in an attempt to achieve glycemic targets
How to identify overbasalization:
  • • Basal insulin dose >0.5 units/kg/day

  • • Postmeal blood glucose >180 mg/dL

  • • A1C not at goal despite target fasting blood glucose level being achieved

  • • BeAM differential ≥50 mg/dL