Hi - we are about one year in with my six year old. He is using Omnipod. I have been T1D since 1982, but I am stumped.
Every night when he falls asleep, he sugar spikes. I have his basal set to a MUCH higher rate that most of the day, and that starts 1.5 hours before he goes to sleep. For example while he is in school I use .05 and .1 per hour and bedtime is .6.
The rise will take him above 400 some nights. But here is the kicker. It is not every night. Some nights he stays low and I have to put him on a temp basal so he doesn’t crash.
Please don’t bite on this next part too hard, but I am wondering about his dinner bolus. He typically eats at 6 PM, and his bedtime is 8 PM. Should I be extending his bolus for a while out? I could add that I have had issues with him crashing 1.5 hours after his dinner bolus, so perhaps his carb ratio needs to be reduced (for more insulin) but have the bolus extend out?