You did say that the meat pie was your previous night's meal Lesley, but what you have the night before reflects on your blood glucose in the morning. It does not sound over the top to be 16 in the morning so maybe it is a reflection on something else you had during the day before. That one piece of toast might have raised your blood glucose by say 4 so if you start with 16 it will go up to 20, but if you started with say 6 it would only have gone up to 10. So it is the whole picture as well as individual meals / snacks. It could mean you need the help of a bit more, or different, medication.