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This is what was said to me by a Diabetes Specialist Nurse
"If waking BGL's are constantly high or low increase or decrease basal insulin.
If it's mealtime BGL's increase or decrease fast acting insulin at the meal before ie if lunchtime BGL's are constantly high or low increase or decrease breakfast time insulin."
I don’t mean to be rude Gill but I’m not sure it’s helpful for you to keep starting so many different threads on this. This is at least the fifth or sixth different thread you’ve started asking this question, the answer is always the same, about it being when your blood sugar isn’t stable without food. The only way to find out if your dose needs changing is basal testing and the process has been explained and linked many times.
If how to do the basal test is still confusing you then I think you need to speak to your nurse about it rather than us, as whilst we can explain what we would do and answer questions on how to do the test, and links on what to do with the results, we can’t give medical advice on what you individually should do with your tresiba dose.