@DaveJ, do you find that your insulin resistance increases at night?
I can’t honestly say that I have noticed a discernable difference in my insulin resistance during the PM vs AM. If anything I tend to see a prolonged spike in the mornings after breakfast. But recent changes in menu from my norm lead me to believe that this is due to a routine breakfast food choice vs a valid increased resistance level.
Which is probably a good thing.
With an insulin to carb ratio of 1:2 and a 1:5.5 glucose adjustment factor, an increased night time resistance would be impossible to cope with without a pump, which my insurance company will not cover for T2 patients. MDI and 4 finger sticks per day is pushing the envelope as it is…