@Catsymoo sorry to read of your body's Foot On The Floor (FotF) response.
I have a few questions
- how soon after getting up do you eat breakfast? Some find that eating will slow the FotF. This does not have to be full breakfast but could be a handful of (low carb/carb free) nuts to convince your liver that you are not starving.
- how long before eating do you pre-bolus? Some people find that, because they are insulin resistant in the morning they need to pre-bolus much earlier than they do for other meals. I have read of some people pre-bolusing 45 to 60 minutes before breakfast.
- are your readings from a CGM (e.g. Libre) or are they checked with a finger prick? CGMs have a tendency to over-egg highs so it is definitely worth double checking these if you don't already. It is possible your BG dos not shoot as high as you think.
- what basal insulin do you take? You mention that your BG plummets overnight so you do not want to increase it. That suggests you are on a once a day rather than twice a day. However, your body may be needing more insulin during the day than night so a shorter long acting insulin like Levemir which you need to take twice a day may be better for you.
- when do you take your basal? If you take it in the morning, it is possible that your morning rise is compounded by your basal running out and not lasting a full 24 hours. If this is the case, you could try moving it to the evening (so it runs out when you are awake and your can top up with bolus) or splitting your dose (so it overlaps)
-do you do correction doses? If so, do you use your usual correction ratio? When our BG goes high, we become insulin resistant so we need more insulin to correct a high. For me (and his is only me - you will need to work out what it is for you(, I need 1.5 x my correction when over 12 mmol/l and 2 x my correction when over 15.
I apologise for all the questions - I guess it is the way my brain works.