We've only been at this for 11 months minus a week. I realized things would change, change some more, and continue changing. (I thought I did? ) We've been okay with a day or few that seem off whack, and sort of back to a fairly stable window of swings, normally 65 - 180, some 50s overnight, and rarely up to 250s. It should probably bother me that dd is more comfortable with several mild lows than she is with a few highs... but based on how they affect the way she feels, she hates highs with a passion, is scared of severe lows, and handles mild to moderate lows without missing a beat (so far), ergo her preference. I understood that because she's been sick, we needed to and did expect higher numbers. Whooping cough is making it's rounds at school, and she missed three days of school on top of the entire three day weekend prior. (she is up to date on immunizations, pertussis infection still occurs in immunized individuals, just not as severely, and the region we live in has a high percentage of non immunized so it's a hot bed for pertussis.) My frustration is she's better now. Cough is almost nearly gone, she's got her energy back, is going to bball practice, eating her typical healthy / balanced diet. Her numbers? High 200s and it's as if we haven't given any insulin when we do her post meal check. Her avg bg for 7 days on her meter is 190. We've been giving corrections higher than ever before (even than when she was really ill), AND more insulin for carbs, and there's hardly a drop, no drop, or she even rises. We increased lantus, still no change. I plan on calling the center again (I emailed logs with a request for review Thursday, no call back, and called on Friday without a response.) But if I don't hear back, I find the 7 day average very upsetting and am wondering what people here might suggest. We did open a new insulin pen, the regular humalog pen in case we're having problems with the half unit pen. This what today looked like. (We were out all afternoon, brother's bball games, and she walked around with friends. Meals are mostly veggie and fruit, w/ 20% protein, 20% or less starchy carbs, and very little fat.) 7am - 130 - not feeling well, wanted to sleep in so just gave 7u of lantus 9am - 152 - changed I:C from 1:22 to 1:18 covered breakfast with 3.5 u 12pm - 307 - she felt nauseous (usually does with highs) so delayed lunch 12:45 pm - 297 - 3.5u for 70g carb, 3.5u for correction (ISF 1:40) total 7u 3:15pm - 198 - asked to wait on snack 4:00pm - 192 skipped the covered snack she wanted 6:00pm - 131 (finally) 62g carb, 3u 7:30pm - 6u lantus 9:10pm - 222 A week ago her I:C for meals was 1:20 bfast, and 1:25 - 30 lunch / dinner. She was on 6u of lantus in the morning and 5u (couple days at 4u) in the evening. We were still seeing a drop of more than 100 in her bg overnight. Now, not so much. The first couple days she was sick, she had a ton of lows and her I:C changed to 1:35. Obviously we decreased that (? or is it increased) fairly quickly, and the on-call doc I reached earlier in the week had already cautioned me that we'd probably go back up on lantus. When I look over the last three days, she's gotten nothing less than 6u at each meal, often 7 or 8u, until bfast and dinner today, but those look like she should have gotten more. With the highs, we did what they had us do last time she was sick, and changed her correction from 1:50 > 150 to 1:40 >150. Is this because she's still at the very tail end of being sick? Does it look more like the end of her honeymoon? Both? She is so frustrated, and I am scratching my head. How do you get 7u of insulin (from a new pen, no less) and not come down until 5 hours later? I guess I'm somewhat concerned because her post prandial numbers haven't been in range for awhile now (a month or so), but the clinic wouldn't change much because of the overnight lows. I worry about long term affect on her health, and insulin resistance. Now, we're not even seeing the prolonged time it takes to drop (like the one between lunch and dinner) very often - she just stays high. At the same time, I don't want to over react, increase basal too much, and end up with night time lows all over again. I think I'm starting to understand why people here say D was easier to manage during the honeymoon. A week and a half ago, we couldn't keep her out of the 60s!! It feels like we've been through such a weird series of swings, and now we're upside down. I hated the overnight lows, but I really wasn't asking for this.