helensaramay and Antje77 thank you both for responding..
thought about the basal and last week I tried to up it to 18U lantus. I added about 2 U every couple days till I reached 18. I had so many lows at nights ( I take lantus around 7pm,shortly after dinner) I had difficulty keeping levels above 4mmol and was eating a lot of sweets at nights. Got frustrated with the lack of sleep etc so cut the units back to 13. I know this sounds like my situation is a mess but any more insights would be appreciated.
Ah, with lows at night you're definitely right to lower your basal, like you did!
This morning BG before breakfast was 10.7 mmol, 3 hrs after eating 18.1.
I don't have a solution for you (wish I did!) but maybe some things you want to look at.
- Have you heard of dawn phenomenon and 'feet on the floor effect'? You can use the search bar on the top of the page to look for threads about it. Or do a Google search.
I don't have much of a dawn phenomenon while I sleep, but I do have a strong feet on the floor effect. If I test right after waking up, in bed, I usually wake up with decent numbers. But even if I don't do anything besides waking up, cooking coffee, feeding the chickens, whatever, so no food involved, my bg will rise well into double digits. So your rise could have been from your liver dumping glucose in your bloodstream to get you going for the day, rather than from your breakfast.
- When I'm on the higher side I need more insulin to lower my bg or to cover food. I seem to be more resistant when having high bg, and I've seen a lot of others mention this as well.
- I see you already have different carbs to insulin ratio's for different times of the day. For me (it's different for everyone!) I need over twice as much insulin for the same food in the morning than I need in the evening. Maybe you need to get your ratio's fine tuned.
I also find it almost impossible to eat more than a couple of grams of carbs at breakfast without spiking high before coming down again. Works a lot better later in the day for me, so I tend to avoid carbs in the morning.
Should you try this, it will also tell you if it's the food that spikes you or something else, like dawn phenomenon.
Should you decide to try new things, please test an awful lot and keep hypo treatments at hand!
You could also try to get a CGM or Libre. It gives you way more insight in to what happens when, and why than finger pricks. They don't work perfectly but they make finding patterns a lot easier, and they also make it easier to keep a close eye on your bg to react to highs and lows before they're even there.
Good luck!