Oh dear
have you had a c-peptide test done recently at all? Maybe you don't produce hardly any insulin anymore. I am in that boat. So they have me on both lantus for the basal and apidra for bolus with meals. Since I've been on insulin I've had better sugar numbers that's for sure. The oral meds were doing nothing for me, which is no surprise as they only work when you have your own insulin. I would think that if I was on only basal insulin it wouldn't help me too much either because I don't have my own insulin to tackle the peak you get with meals. Maybe you also need bolus insulin?
In one of the first diabetes management books I read, the first chapter explained how as diabetics, we have to become our own doctors.
Your level of knowledge, much like many other diabetics, is spot on.
Not sure if I was given a c-peptide test.
But the doc replaced all but metformin yesterday evening.
As you suggested, basal wasn't enough. My doctor either thinks it would be too hard for me to manage regular insulin or... He might think that with my depression having not been so long ago, that I might still be at risk of doing something stupid.
So he gave me a 30/70 mixed concoction of fast verses long acting in NovoMix and also Empagliflozin to help me pee out more sugar too.
Quoting from the same book I mentioned earlier;
"There's nothing like getting a chronic disease to help you live a long and healthy life."
(Because you have to actively manage so much more of yourself)