Hi uglogirl,

Stress will elevate your levels, too. Even having nightmares while you sleep, that you can't even remember, can stress you in your sleep and have an effect on your levels when diabetic.

All in all, it sounds like you have been doing a good job of controlling it for many years.

Hopefully, once you get those nighttime spikes under control, maybe your PN will improve.

Wishing you the best. Please let us know how the Januvia works for you. It may take a short while before you see the effects of the new med.

Thanks for posting.

Hopeless