Hey everyone - I'd like to get your opinions on how you deal with random (but persistent) highs at night. Andy is MDI, on Lantus (bedtime shot) and Novolog. I would say 4 nights a week, he wakes up 100+ points higher than his middle of the night check. HOWEVER, sometimes he goes up and then comes back down to the blood sugar reading as of about 11:00 pm. And sometimes he stays exactly the same all during the night. So far, we cannot find a specific pattern so we have been unwilling to increase his Lantus. If he is over 250 at 3:00 am, we will then correct (and of course, retest because although his night correction dose is less than half the daytime correction, he is sensitive to the Novolog at night and we worry about lows), but otherwise, we wait it out, which means he wakes up high a lot. I find this extemely frustrating and I think if we could get the night numbers more consistent, then we could improve his overall control/A1C. Endo suggested we consider a CGM to better monitor the trends and then re-evaluate how to approach this problem. Andy's 9 years old and I'm wondering if this trend is ue to growth hormones? We would expect some fluctuations based on food consumption on any particular night, but he eats pretty much the same things so we haven't been able to tie the high numbers to any particular foods. Any thoughts on this (especially if you've been through this yourself) would be greatly appreciated. Thanks!