Hello Mommayorkie, you have been listened to, and you feel so much better,that is the most important first point to you. The nurse practitioner is one who is still patient centred, you have got a good one there.
I understand the night time hunger thing, I also have this problem and have a few things I use to have a good night. Did you know that potassium helps you sleep? so if you are hungry have a banana, potassium and have it when there is still some green on it, there is less sugar in them (under ripe) than when they are yellow (ripe/over ripe) and the sugar content is higher and not a good idea for a T2.
I also take yoghurt as a bedtime snack, these are the one's with some good qualities to them, high protein, and low as possible sugar's. I like Danio blueberry, and cherry flavours. The Activa range are also good, but avoid the fun ones, they are more sweet desert. My all time favourites are Longley Farm these are a live yoghurt, and are good for the stomach and the friendly bacteria in there, they are only sold in some places, but you can taste the difference and they have more of a tang to them.
I was told that, you need energy to sleep, so if you are hungry you need to eat, and as T2's we have to choose well, and the best for us,
I have been on steroids, and they can have big effects on the body, When you have had a bad night, and if your body is under pressure form your other conditions maybe this is why the readings are higher than you would like.I think that if your routine is out of sync then maybe your readings would be 'all over the place' I would not worry too much are there is less chance of hypo's and night time problems.
Maybe now you have had some good changes to your medications, things might start to level out with your readings. I take my readings firstly when I wake and then after lunch in the afternoon. When my readings are higher than they really should be, I just take care with what I eat, and have plenty of fluids. I am most likely on the higher side of good, but I too am in the dumps and trying to get things on a better footing, but not getting there.
I always sleep with my legs raised, and have found this helps with any fluid that has built up and also rests the ankles and knees, and allows them to rest without any pressure on them.
Well I am still up and it is 04.40am and I think I will go to bed, still here for you and the rest of the members with lots of knowledge, ttfn from Karen.