[Gary_W]

Originally Posted by Scratch

Yipes, this is not good advice.

First off, the information we've been given in the opening post was too limited. We don't know enough to say with any certainty why pixelgirl is waking up at 350. It could be her basal dose is too low, it also could be she's bottoming out overnight and her liver is giving her a rebound effect. We don't know if she's done overnight tests to monitor her blood sugars while only her basal insulin is active.

If it's a situation being caused by going hypo with a liver rebound, increasing to 25 units, approx 1 u/hr basal, from 15, approx .625 u/hr will be no good at all.

Now if she does overnight testing and finds that her blood sugars are steadily climbing, then she should begin increasing her dose, but I certainly wouldn't do so by increasing it 67%. A more cautious stepwise approach would be better, making changes at around 10 to 15% per change, or in her case 1 to 2 units of change as indicated by testing.

Making any large change in insulin (especially upwards) without having an idea why you're doing it is not a good idea. Basal testing will tell the OP what she needs to know so she can make the needed changes in a safe manner.