@ddpetaluma, I have the same problem with Forteo. I get up 3 times a night and can't sleep after the third time. I am not getting any quality sleep. My PA Endo said that the medication can do this, and she suggested taking it during the day. I tried taking it after dinner. This helped for a few days, then didn't. Another endocrinologist suggested drinking salt water before bed. That helped for a few days, then stopped. I have hypercalciuria and I think that too much calcium may be causing so much urination. I also have made an effort to drink enough water during the day, to safe guard from kidney stones and keep my blood pressure normal. The last NP Endo thought I might have a urinary track infection, but my urine is clear.