I struggled with and my Family Doctor screamed at me for being too high in A.M. Then I went to an Endocrinologist who said my Genetics caused me to start spiking at around 5 to 6 AM. The only way control it was to take an Insulin shot at bedtime to counter the spike. It works well and I do very well the rest of the day.
I do count carbs and take my diet very seriously. I love Pasta and found Dreamfields Pasta that does not cause spikes like other pastas do. It is made with whole wheat and is formulated to keep your blood sugar on an even keel. With a little attention to diet you can eat very normally. I also take Glipicide XL at breakfast and dinner to help keep my blood sugar in a normal good range, and that also cuts down on the units of Insulin needed.View Thread