I know morning spikes have been discussed in the past. We are struggling with the morning spike and cereal and the number of carbs is the root of the problem. But you pick your battles with a 12 y/o carb loving boy. We are having better luck, by prebolusing and doubling the amount of insulin he is getting in the am and he is not bottoming out. His am carb ratio was 1 unit to 40 carbs. And now is 1:20. We have adjusted his basal and when he sleeps in stays stable. I am so grateful for the CGM to work on spikes. It is amazing how high they can be with a growing preteen. I am wondering how much lower are kids AM ratios? I am sure this will change again as his insulin needs increase and we enjoy growth spurts. Thanks for any help.