Hi Debbie
I used to have very high morning blood glucose and I found it impossible to control until I had a pump. Are you Type1 and what insulin regime are you on?
I am Type 1 and the reason I found it hard was that I have a strong 'dawn effect' when my liver releases a lot of glucose in the morning; it starts to rise at 4am and then peaks from 8-10am and then drops down to almost zero after lunch and rises again from 4ish for the evening to about 1/3rd of the peak.
I did not know this when I was on a regime of lantus once a day and novorapid for meals but I found that if I increased the lantus I kept going hypo and if I reduced it went very high in the morning. I changed for a while to levamir and took it twice a day with a higher dose in the morning ( I think it was) and a lower dose at night. This was much better.
I pushed to get an insulin pump and the consultant, on seeing my diary of blood glucose levels, agreed that to have a pump would allow me to vary the amount of background insulin through out the day and so should help with the problem.
It has not been easy ( but what is with balancing all these thing?). To get the right background level takes some time. It involves fasting tests to get the insulin does that results in a flat blood glucose. I was amazed that I could manage to do fasting tests fairly easy, in fact I found it quite liberating to find that I could. Fasting was necessary ( no calories) as Protein and Fat cause blood glucose to rise, esp. in the absence of carbs.
I hope that is helpful, I found a book called 'Think like a Pancreas' very helpful.