Care Plan — 3×3, 4×4 insulin adustment

Long-Acting Insulin Self-Adjustment ("[select name="variable_1" value="Three by three|Four by four"]") 
Note:  These instructions are designed to help you adjust your own insulin. These instructions only apply for long-acting insulins like Lantus or Levemir and do not apply to NPH, Insulin 70/30, or short-acting insulins like Regular or Humalog.

Your long-acting insulin is [select value="Glargine (brand name is Lantus)|Detemir (brand name is Levemir)|Degludec  brand name Tresiba"]
Your dose of long-acting insulin is [text size=5] units [select value="every morning|every evening|every morning and evening"].

ADJUSTING YOUR OWN INSULIN
1. Check your morning blood sugar everyday prior to eating or drinking anything (fasting).  
2. Know your goals! Goal fasting blood sugar less than [text default="130"].
3. Adjust your long-acting insulin every [select value="3|4"] days as follows:
----------------------------------------
If ALL of your blood sugars greater than [text default="130"]. --> INCREASE by 
[select value="3|2-4"] units
If ALL of your blood sugars between [text default="80 and 130"]. --> NO CHANGE
If ANY of your blood sugars less than [text default="80"]. --> DECREASE by [select value="3|2-4"] units
----------------------------------------
4. Tell your medical provider how much insulin you are taking at every office visit.
5. Bring your meter, diary, or log of your blood sugars to every office visit.
6. Call the office with your morning fasting glucose numbers every [select value="3|4"] days if you need help with adjustments

[checkbox memo="References (Hide/Show)" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).isNot('')"]
[link url="https://www.ncbi.nlm.nih.gov/pubmed/19515182" memo="Blonde L, Merilainen M, Karwe V, Raskin P; TITRATE Study Group. (2009) Diabetes Obes Metab. 11(6):623-31."][/conditional]