INS and Hypoglycemia: Other health beliefs, such as normalising asymptomatic hypoglycaemia and minimising hypoglycaemia concerns, have also been associated with an increased risk of SH by driving self-management decisions, including excess or early insulin bolusing and insulin stacking.77 Flatt et al.74 identified a trend towards an increase in the percentage of insulin delivered as bolus in people with IAH, most likely a result of these behaviours, which is at least partially offset by the HCL algorithm.