9/17 Nao AMPS 162, +2 122, +4 68, +5 73 PMPS 137, +2 81, +4 73

His nadirs look like the insulin is still effective. You could always try a new one. Are you using the pens or the vial?
Preshots are usually the last BGs to fall in line.
Maybe an adjustment to his feeding schedule?
@tiffmaxee @Bron and Sheba (GA) any suggestions for Michelle to help with the preshots.
 
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