Abstract
Despite extensive research on insulin usage in diabetes, an effective method for regulating insulin dosage and timing has not emerged. Self-monitoring of blood glucose (SMBG) is crucial for diabetes self-care, but its utility is limited in intense insulin treatments. Moreover, persistent nighttime hypoglycaemia anxiety and neuropathic gastric issues pose significant challenges for patients with elevated nocturnal blood sugar and frequent post-meal hypoglycaemia. The “bathtub” curve outlines a daily glucose profile where levels spike after dinner, normalizing only after morning correction. This chapter focuses on addressing the difficulties posed by this glucose pattern for healthcare providers and researchers. The insights offered here could prove invaluable for diabetes management, potentially mitigating associated complications.