I'm 1 year into my diagnosis. Still honeymooning. Normally I've had excellent control with mealtime novolog only so far.
Over the past few days, and for the next several weeks I've been at a training facility to upgrade my professional license--- It is a really big deal that I have looked forward to and worked hard on for many years. It is also an extremely demanding and difficult program. I've been spending, and will continue to spend 16+ hours a day studying, crunching extremely complex numbers, and generally ripping my hair out.
Normally I maintain normal levels aside from after meals which I have to bolus for-- since I got here, though, my numbers have been starting to spike as soon as my dinner-time bolus wears off. I've been under 130 2 hours after dinner (and after taking novolog)... which is fine-- but then I'll test again at about 11 pm when I get done studying and find that I am 160 or something, which is totally out of pattern for me.
Last night I started taking 6u lantus at about midnight when I finally get to bed-- that was enough to keep me quite low, but ok, throughout the day-- but again spiked this evening when I'm franticaly crunching numbers.
I plan to try taking Lantus at dinner or lunch tomorrow instead of bedtime... so it will be more likely to be active in the evening instead of wearing off. Does anyone have any other ideas?
I'm sure this is stress related-- but I'm stressed all day-- so why only the problem in the evening? Any ideas or suggestions are welcome.