Yeah that’s a tough one that, in my experience, only going on a pump was able to solve. Struggled with it for years on MDI, including using Metformin at night and risky stuff like giving myself a low-ish Novolog shot to drive my overnight BG down so it wouldn’t be so high in the a.m. That was pre-CGM, so I had no real idea what I was doing. But nothing worked until I started using a pump, where I could set a higher basal rate starting around 3:30 a.m. to get ahead of DP.
Do you still have the Tandem? One thing a tube pump allows for that (AFAIK) Omnipod doesn’t is that you can try different types of infusion sets. A lot of people who have trouble with the standard teflon-canula infusion sets have tried switching to stainless steel ones (TruSteel for Tandem) with good results. Angled sets are also available, which don’t penetrate the dermis as deeply, and there are different cannula lengths as well.
Uggh, that’s the worst. I’ve been through it many times after 40 years with T1. I call that feeling “T1 claustrophobia” (see OMG, I have diabetes!) Comes on the worst when your D regimen is just not working, and this whole system where you have to commit to a pump technology for 4-5 years at a time can be really bad. But there can be other options, and seeking help from other T1’s who have experience with the problems and the fixes and alternatives is one of the best resources that we didn’t have back in the dark ages. Please stay in touch and let us know how it’s going!