Building Competency in Diabetes Education THE ESSENTIALS

BASAL-BOLUS INSULIN THERAPY | 12-103

minutes before and continued during exercise. Basal rate can be reassessed following exercise. • Activity very early in the morning may require reduction of no more than 50% of basal insulin on the evening prior to the activity. • Prolonged activity can have a delayed BG-lowering effect. Following prolonged endurance exercise, meal insulin doses may need to be reduced by 20 to 50% and/or bedtime doses of basal insulin may need to be reduced by a small amount (10 to 30%) (164,168).