[morrisma]

Sorry about the fear - its something we all feel.

The good news: All your numbers sound okay - mostly under 140 where damage begins - so please try to be less stressed.

Fasting numbers:
The overnight numbers will take some work to determine exactly when & why they are rising. Try to talk your endo into getting you a 3 day cgms (continuous monitor) to use. That will give you a graphical analysis of whats going on every few minutes for three days. If he can't or wont get one for you, you can do it yourself but it requires fasting and getting up through the night to test. Google "Basal Testing" for more info.

Whichever way you do it, the idea is to determine if you are going low overnight causing your liver to dump glycogen or if your are experiencing a dawn effect where the hormones your body secretes naturally as you get ready to wake up are triggering your liver to dump glycogen. Both are caused by the same dumping action but are treated VERY differently. You may be eligible for a pump if it's a dawn effect issue.

The other question I have is: Are you using a fixed amount of insulin at meals or do you use a sliding scale to correct for highs and account for the carbs you are eating. The sliding scale is more work but much more effective.

Cheers