I’ve been doing MDI for the last few months, with 2 Lantus injections per day (9 am dose of 13 units and 9 pm dose of 12). This works well throughout the day, but my blood sugar shoots up to 200 or so around 10-11 pm, and then usually slowly decreases throughout the night (sometimes even dropping low).
The increase is not because of belated carbs from dinner. It happens consistently, and I’m guessing it’s because the Lantus isn’t lasting the full 24 hours. It’s weird that this doesn’t seem to be an issue in the morning though.
I’m not really sure how to handle it because I clearly can’t increase my evening Lantus (it’s probably too high as it is). I’m currently bolusing a couple units of humalog, but then I generally wake up to my cgm alarm around 5 am. I also don’t like the idea of bolusing because my basal isn’t correct. If I decide I’m ok with bolusing for this reason then I’ll probably lower my basal rate at night.
Has anyone else struggled with something similar? How did you handle it? I’ve been on the pump in the past, and while that can resolve issues like this, I had other problems while on it. I needed a break.