I know YDMV but I was shocked to get a 445 this morning one-hour after Andy's shot of Novolog. We usually don't test then, but rather, test at the 2-hour mark because that's when his class eats a morning snack. Today, when I dropped him at preschool, he was very weepy and clingy and when I asked if he felt okay, he said "no" and I asked if he was low and he said "no" - so of course, I tested him before I left. Not sure what to make of the 445. Our 2 hour post numbers range from 250-325 but at 4-hour post, he's usually 130-160 (and that's with a 20 carb snack at the 2-hour time period). Should we assume he is spiking to the 450 range EVERY morning (I think I'll need to add a test there for a few days to see if this is a trend)??? And if that's the case, does it mean we need a lower I:C ratio for breakfast? But if we increase the insulin ratio, will we then have lows at the 4-hour post mark?? We use NPH in the morning, so that always provides for a bit of unpredictability, but the NPH isn't working yet at 1-hour post and I did not think he would go to 445 with the Novolog in him (7:00 am number was 108 - beautiful!). Part of our problem is that for now (hope to change soon) we give the breakfast shot either after he finishes eating or a few mintues before he finishes (dealing with food battles so we give Novolog AFTER the meal so we aren't stuck harrassing him to death to finish all his food). This is clearly not ideal for his numbers. In case it helps to know, Andy currently gets 3.5u NPH at 7:00am, then we use a 1:12 ratio for the Humalog to cover breakfast (shot consistent at 8:00am), the NPH covers AM snack of around 20 carbs, Lunch of 16 carbs, PM snack of 7 carbs - then he gets 4 units of Regular to cover dinner 45 carbs, he is almost always in range (80-180) 2 hours post dinner shot and if so, gets a bedtime snack of about 30 carbs, then 1 unit of Levemir at 8:30pm. Sorry this is so long - my main reason to post was to find out if anyone else knows what could be up with that kind of spike 1 hour after shot of Novolog. Is that "normal"?? I worry about his little body and that's a big swing. If you made it this far, thanks for reading!