How do you approach insulin adjustments for a patient with type 1 diabetes who is not on an insulin pump and who has higher blood glucose levels in the late luteal phase of the menstrual cycle, when glucose levels are expected to rise?  

More data is needed to answer this question. We need to know the insulin schedule that the patient is on. The basal dose of the long-acting insulin and the dose of short-acting insulin used for meals, including the insulin-to-carb ratio. We also need to know the information from the previous three o...