There are many reasons why people need more insulin. When children grow, their insulin needs generally increase by one unit for every two pounds gained. When growth hormone levels increase, insulin activity is blocked and the insulin dosage generally needs to be increased. Some people need more insulin because their own pancreas gradually makes less insulin. In the winter, many people exercise less and their insulin needs increase.
Some people resist increasing the insulin dose.
When blood sugars have been running high, the person's body becomes accustomed to higher levels and may feel uncomfortable at lower blood sugar levels. It may be unpleasant for a short period to aim for the lower values, but this feeling gradually disappears. This is particularly true if severe reactions have occurred. Working with a counselor may help to remove this fear. Knowing which insulin dose to increase It is essential to know the times of action of the insulins and the desired ranges for the blood sugars.