My nine year old son uses an insulin pump, and his blood sugars are pretty predictable and good during the day, but they rise significantly (250-450 mg/dl [13.9-25 mmol/L]) between 12:00 midnight and 2:00 am, even when he goes to bed with a blood glucose of 100-150 mg/dl [5.6-8.3 mmol/L]. I am baffled by high sugars during this time because insulin requirements are supposed to be lower than normal. My son's basal rate is set at 0.5 units per hour for most of the day, at 9:00 pm, I raise it to 0.8 units per hour, and then from 11:00 pm-12:00 midnight, it is 1.3 units per hour to try to deal with the high sugars almost certainly to come. Even this doesn't always help, and needless to say, I must test him every night just in case he doesn't go high and goes low from the extra insulin. I have never heard of anyone having this problem before, nor of a possible cause for this increase in blood glucose. Can you help?

Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.

Kacie Doyle-Delgado, MSN, APRN, NP-C, was diagnosed with type 1 diabetes at age 11 and attended her first Friends for Life conference in 2002. Since then, she has attended several FFL and regional conferences. She earned her BSN and her MSN as a Family Nurse Practitioner at Westminster College in Salt Lake City, UT and she is currently enrolled in a DNP program. She works for Utah Physicians Care Center in a diabetes specialty clinic. Kacie lives in Salt Lake with her husband, Justin Delgado, and their dogs. She is looking forward to volunteering with the teens again.

Marissa Town, BSN, RN, CDE, graduated from the University of Cincinnati with a Bachelor of Science in Nursing and later earned her Certified Diabetes Educator credential. She has had type 1 diabetes since the age of two and has grown up with a passion for helping families living with diabetes. Marissa is currently working as a research nurse at Stanford University. She has always enjoyed working with families with diabetes at Children with Diabetes conferences, camps, and support groups. She and her husband Adam have two young children, Connor and Everly.