Anyone with fully functional adrenals have the pleasure of sweetening up at dawn – it’s just a problem if your pancreas/basal insulin isn’t capable of raising its head along with it (cast envious look at pumpers). I’ve never really had problems because of that early morning cortisol surge; it’s the late night cortisol slump and waking up sub-3 that have harried me more…lately I’ve started to do Lantus at 00:00, so that its supposed peak is closer to that of cortisol’s, and until 2 there’s as little insulin present as is possible (without tweakable pump). You didn’t mention when you usually inject your Lantus?
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