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You might be having rebound hyperglycaemia in your fasting sample, because with 25 units of actrapid your post meal level is 145 only meaning insulin is effectively controlling it. Possibly after the evening dose of insulin and a longer interval between dinner and lunch, by the early hours of morning your blood sugar might be going below normal without your knowledge while you are asleep. At this the internal mechanisms of body release anti insulin hormones and the morning blood sugar in fasting samples is raised. The doctors even somtimes get misguided by this and further increase the evening dose of insulin insead of reducing it. In your case the evening dose may be reduced by 2 units and afte about 1 week the fasting sample be rechecked. It should show normal or near normal level.
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