My first day on my new schedule I was fighting off lows all day. I adjusted my insulin to carb ratio each day and each day fought the same battle. I had an epiphany a few days ago and realized I probably needed to adjust my basal insulin and tried that. Still not much of a change. Somewhere in there I started encountering highs in the early morning. I tried to treat these which led to more daytime lows. I discovered that as soon as I got out of bed my numbers immediately started to plummet. Then I started splitting my dose between morning and night. No change. Now I am taking the whole dose at bedtime. It's too early to tell if this is really helping. I miscalculated a high card dinner two nights ago and went scary low that night. Last night I went to the movies which means lots of popcorn, things peaked a little bit at night but stayed within reasonable ranges.
I think diabetes time is different than real time. It feels like I have been counting carbs and calculating insulin for a decade. Sometimes I have to stop and remind myself that I'm still young in my diabetes life, only having been on insulin for about 8 months and counting carbs for a couple of years. Even tiny changes can make big impacts on blood sugar management and I have to be patient as learn what adjustments I need to make (and I need to avoid pints of Ben and Jerry's Half Baked while I'm making those adjustments). I'm still taking things in stride and learning as I go. And usually resisting the urge to chuck my Dexcom across the bedroom when it wakes me up 3 times a night