@urbanracer I would try a different basal insulin. I couldn't get Lantus to work for me - dropping around 2:00am then rising around 4:00. For me Levemir has been a big improvement.
Hi @urbanracer . Sorry you're struggling at the moment, especially with overnight highs.
It's so frustrating for everything to go wrong whilst we're asleep and can't do anything at the time.
This is only a suggestion and maybe something you have actually tried already.
As T1's we are forever watching what we eat and when we eat it.
Have you considered having a very light snack and a small bolus prior to bedtime.
I will on most nights eat before bed. Currently my favourite is half of an apple with peanut butter. Depending on what my BS is dictates any bolus I have.
If I was 8 then I would do the apple and pnb with a 2 unit bolus.
If I was at 5 then I would forgo the bolus.
This keeps me very level overnight ( Dexcom is a great source of information) 8 times out of 10 I would say.
We are all different and this probably is a ridiculous option for many but it seems to work for me.
Hi @urbanracer . The idea of bolusing for me is to counteract the carb rise from the apple and pnb.
What actually helps with the increased blood levels during the night is the apple and pnb not the bolus. Providing your basal level is correct then for me the trick is stopping the liver providing glucose I don't need at that time of night.
Apple is not overly carby and the pnb really slows down the digestion process, so in theory I get the carbs a good few hours after going bed. It then seems that my body/ liver has no need to provide glucose on account it's already there.
Hope this makes sense and I'm not sure there's any science to it. It's one of those hit or miss things that makes diabetes so **** interesting
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