ParentingDiabeticKids.com

My 10-year-old son was diagnosed in March of last year. He started pumping in December. Prior to pumping, we started having problems with his sugar after dinner. We always eat at 6. At 8, his BG is great. At 10, he's high. Every. Single. Night. I've checked (and double checked) his evening basal and it is right on. When I lower his dinner ratio, he goes low at the 2 hour mark. Our CDE had a do basal tests with food and without and every time we did the test with food, his sugar went high at the 4 hour point. I guess it's the way his body is processing food at night??? Anyway, the CDE's seem to have not seen this before. They suggested doing an extended bolus at dinner. We have had a bit of success with it, but truthfully, it's exhausting because he has active insulin in him so late. I would LOVE to find a solution that doesn't involve an extended bolus every night. (But of course, if that is necessary, we will do it.) This week, I finally decided to try increasing his basal between 7 and 10 to see if that off-sets the rise. The CDE thinks it's a safe test, since he will always eat dinner. Do you have thoughts? I feel like I'm all alone in this and I want to do right by my son. I just wrote a question...and forgot to give you one other bit of info. Yes, this is the longest question ever...I'm so sorry. But with my son's evening meals....a nutritionist has already looked at the food he's eating and they do not believe that's it. We don't eat high fat food at dinner...in fact, his evening meals are healthier than ever in an effort to fix this problem. Most recently, he went high on a tuna sandwich, baked ruffles, strawberries and 2% milk. All the meals are meals that he eats at other times of the day and is fine. It's something about dinner. And it's a complete mystery to me! Thank you for any help.