Why don't you think he is UT Laura ? Wendy also says the same. Lol seriously if I take into account who he is since birth plus the fact that he used to feel tired to have early BTs and now just isn't tired enough to go to sleep anymore. If he was OT long naps would sort it right?!
No. Just because he isn't sleeping does not mean he isn't tired. That's the one thing I have learned through all of this. Sleep is about 90% developmental if you ask me. The other 10% gives us something to work with. And yes some kids are low sleep needs, from the beginning maybe, or some can become lower sleep needs as they go. But I would not chalk up him not sleeping to being UT all the time or not needing/wanting the sleep. Kids always need way more sleep than we think they do, and they have studies that show this time and time again. He's surviving on it because it's what he knows and he hasn't worked out how to take more when offered.
You are right though; you can only offer the conditions conducive to good sleep habits. A tweak here and there may help for a day here and there or you may even get spells where it just goes along tickety boo...only to end up at the same place. It's not easy at all but it sounds like you are keeping an open mind as possible, which is the one way I have tried to make it through this. We're still standing after all this time, Laura, Koe, Karen, me...and so will you be. We're here for all the venting and cursing along the way :-)
(((hugs))) and double ((((hugs)))) for the illness, that sucks!