My 4 yo DD was diagnosed last month. She is currently on 1.5 units NPH for breakfast, 1.5 unit Lantus for dinner and Novolog on a sliding scale Her numbers in the am range from 48-85, her lunch numbers range from 64-110, her dinner numbers are from 70-120. Her bedtime numbers rise from 180-290. Her 2 am numbers range from 147 - 260. We aim for 45 gram of carbs for dinner. I am concern at the low morning numbers and the high evening numbers. We have reduced the insulin and rarely need the Novolog because of her low numbers. Someone suggested that NPH is causing the low/high numbers. DD is in preschool without nurse, so we are stuck with NPH. Our last visit with the endo basically gave us free reign to tweek the insulin but I am so unsure what to do. I would appreciate any feedback/suggestion. Thank you!