I can truly empathize as I have been living the same nightmare since last November. I have to consume cornstarch as a bedtime snack to keep my bs up during the night as well. My Selective Arterial Calcium Stimulation Test with Hepatic Venous Sampling showed consistent increases in Insulin in area of pancreas that is perfused by the Splenic Artery, but MD's do not think its increasing trends are not quite high enough for NIPHS or an Insulinoma. They are wanting me to trial Mounjaro to see if I have a dysregulation between glucose intake, storage and release and Insulin production and release. It was also mentioned that we may be just catching the issue earlier in the disease process and said if Mounjaro is ineffective, I may need to repeat the Calcium Stim Test down the road. Anyone else with a similar experience?