I am having difficulty controlling my blood sugar while working night shifts (1945-0745). I typically take Humalog and Lantus for insulin, Humalog 1unit per 4 grams of carbohydrates at each meal and Lantus 22 units at bedtime.
I typically eat snacks throughout the night and take Humalog depending on the amount of carbs I eat, although I find I often don't take any because I do not want to be low while working... And then I take my normal scheduled Lantus around 2200.
When I get home from my shift, I am usually hyperglycemia. If I have breakfast before going to bed, I take my normal 1:4 ratio of Humalog but no correction dose to help lower my sugar because by late afternoon, my sugar is always hupoglycemia.
I am unsure of how to stop these drastic highs and lows, I'm thinking maybe I should take less Lantus at night and then an additional dose in the morning before I go to sleep but I am uncertain of what dosing would be correct... Any input would help, thanks so much!!