What happens if your basal insulin stays a little too high for an extended period? By extended period, I mean a weeks or months, not just hours or days. The body has an amazing ability to adapt. The liver is always pumping out glucose, right? So we cover it with basal insulin. If basal is too high for a period of time, does the liver adust to increase glucose output, to compensate? Then this might lead to increase in the need for insulin, because BGs would start to rise. If this continued to happen, would it be enough to cause the person to gain weight? (or they'll just have lots of lows and gain weight from eating the extra food.) Would the body's ability to avoid lows be impaired, because the liver's stores would be less? If so, then if we lower basal a little, might it adjust back again, eventually? I read once that it's better to have basal be a teensy bit high, and correct with food. I'm wondering if there are any effects of having the basal a little on the higher side (besides the obvious: lows). Does anyone understand how that works? Thanks!!