Wake up at 8 at a good level, say 107. No breakfast and test at 182 at noon. I have been spiking like this in the morning for a couple of weeks. Even spiked once from 95 to 285 in the same scenario above. Stopped drinking coffee/caffeine completely and there has been no change in this pattern.
Basal: my a.m. basal is the highest of the day at .6 from 6 am to 4 pm, when it drops to 2.5 during drive time. I upped it to .7 from 6 am to 11:30 am when it goes to .6
Other part of the day: Go to bed with a BG of 91 at 9, three hours after the meal. By 10:30, my pump starts to buzz that I am low. I treated with 8 oz of apple juice (32 carbs) and even with the juice, BG continue to go down and am 53 at midnight. Eight oz more juice and starts to go up slowly and I hit 98 at 1:00 am. Woke up with the 107 noted above.
Now bolus and basal. I bolused 1.5 units with a 30 minute square wave (tried square to see if tat helped)last night for about 20 carbs. normal C:I is 1 u to 10 carbs. So I took 25% less than normal. My basal goes done to a minimum .375 at 6:00 and then up to .4 at midnight.
First, I don't get how I can drink 64 carbs of juice over a two hour time period (that is more carbs then I eat in a normal day) and still crash. I am going to lower the 6 pm basal again to .35 and see if that helps.
This has happened in various degrees for the last three weeks. I was traveling, and afraid to make changes on the road. Sound like the right changes? My husband is getting really irritated with the night ones, as they are happening as I go into REM sleep and do not react well to the timing. Suggestions? Ideas?