Possible Reasons for High Fasting Blood Sugar

• Insulin Lispro is rapid-acting, typically used around meals, not for fasting control.
• Pioglitazone improves insulin sensitivity but may take weeks to show full effect.
• Factors like insulin resistance, inadequate dosing, or timing issues.

Medication Timing and Dosage

• Consider the timing of insulin and pioglitazone.
• A basal insulin may be needed for better fasting control.

Other Contributing Factors

• Dawn phenomenon, dietary habits, stress, or infections.

Recommended Next Steps

• Consult an endocrinologist for possible insulin regimen adjustment.
• Monitor blood sugar patterns and consider lifestyle modifications.

Diagnostic Tests and Monitoring

• Regular blood glucose monitoring and possibly an HbA1c test.

Medical Specialties Involved

• Endocrinology for diabetes management and diabetes education.