It’s not unusual to have to adjust basal insulin now and then - I’ve been running a little high overnight fit a few days ago just adjusted my overnight pump rates an hour ago! And since she is on a new insulin it may work differently than what she was taking before so you’ll need to make adjustments until you find what works. Hopefully your doctor have you specific instructions. Follow them and keep doctor posted on how things go.
He said just increase as needed. The doc suggested giving her the entire dose at bed but I’ve noticed over the years splitting her dosage is better
Ndidi @stixxs512, “splitting” a basal insulin dose, sometimes some in the morning and some in the evening, is a very common practice.
The purpose of the basal insulin is to provide “background Coverage” in an attempt to keep your daughter’s body glucose level as stable as possible. For instance, your pancreas does not just shut itself off when you are not eating, but rather keeps working to maintain your body’y optimal glucose level.
I usually increase or decrease my daughter’s (7 years old) based on how much she rises or falls at night after her mealtime insulin is done affecting her on nights when she has had a not too high in fat or carbs meal(those meals I know I will have to get up and give her a correction or 2 at night. ). For every 30 points she rises or falls when no meal or mealtime insulin is affecting her, I raise her 1/2 unit, but sometimes just 1/4 unit when 1/2 is too much. Then I watch her during the day to see if her bg is riding or going too low between meals to verify. She varies in her basal insulin needs from .6 of Lantus up to 2.6 right now and if she’s sick I have had it go as high as 4 1/2. Have never tried splitting the basal insulin yet. I do wake up at night to check her bg unless I’m certain her basal is right and she had an easy meal for supper. I especially try to wake up 1 1/2 hours after giving a correction at night. Hope this helps a little!
So far it’s looking like the culprit for my daughters spike has been chicken. It was suggested for me to take it out and see what happens and that same night until now a week later she has not spiked once at night. It was suggested that the fat from the chicken may be digesting slower and by the time the dinner bolus runs out in the middle of the night the food may not completely be digested.