Hello Everyone! My little boy Nyj is five and has been diagnosed type 1 for 1 year. He is not on a pump, gets 1 unit/20g carbs, and 05 units for every 50 over 150 as a compensation does. He has been on 3 units of lantus. We give humalog before each meal. We got a CGM two weeks ago. During the day we have been doing much better in terms of controlling highs and lows, but about 2/3 of the time he has a huge spike at 6-8 am pushing him to 300 to 400. During his last endo visit, they requested that we increase lantus to 3.5 and then if after a week, we still see the morning high, to increase to 4 U. We are about a week in and last night was a bit of a nightmare. He went to bed at 9:30 at around 150 At 10:45 the CGM alarm went off as he dropped from 150 to 50 in fifteen minutes. We verified with finger sticks and then gave him 15 g juice At 11:15 the CGM had not changed from 50 and we finger poked again and he was at 55, so we gave another 15 g of juice. At 11:45 we finger poked again and he was slightly better-up to 89 but By 12:15 he dropped back down to 60 again half an hour after that so we gave another 15 g of juice which brought him over 100. At 1 am, he had dropped back down to 87 but seemed stable At 3 am he started the normal early morning rise, so by 6 am was at 400. How do you guys typically handle these high early morning rises? Have you noted un responsive nightime lows like this and how should they be handled? It seems like each time we change the lantus, it seems to make the morning highs worse and his daytime fluctutaions worse than you might expect, given it is should be stablizing things-is this common with changes in lantus and does the advice my edno gave seem like a reasonable soultion, given the variability we are seeing? All advice is greatly appreciated!!!