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Message: <blockquote data-quote="jrussell88" data-source="post: 2674940" data-attributes="member: 76095">An alternative solution would be a pump - is that a possibility? The pump allows fine-tuning of the basal pattern using rapid acting insulin.I was on twice daily doses of lantus but was still getting intermittent overnight lows and highs. The lows were the critical argument for the PCT to fund the pump. The diabetic team at my hospital were very supportive when I asked about pumps.Might be worth exploring.Ps Just read your post on basals. It's important - for safety - to calibrate your basal to achieve a flat or slightly rising profile overnight. I'm also sensitive to insulin - similar build to yourself - and the switch from Humalog to an ultra-rapid short-acting insulin Fiasp helped deal with post-prandial spikes. There are alternatives.Secondly, bolusing earlier, before meals. However that can be risky if the meal is delayed, or slowly absorbed. Thirdly, starting with low-carb buffer foods, and mixing the carbs in after a bit. I still sometimes get big peaks after a meal though and it's work in progress.</blockquote>

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