Hi @Red_river_ Enjoy your holiday. You would seem to be making sensible choices in reducing carbs, The reason I found a meter helpful was that I could see what carbs I could eat and which ones I needed to avoid. We are all different. You don't have to use a meter but like @Prem51 said waiting for your next HbA1c can be a long time to know if things are working for you. I've been almost a year since my last HbA1c so I like to check on my meter to see my levels aren't rising, and when they do I try to do something about it fairly quickly. There are so many different ways people use to try and control diabetes and you have to find a way that works for you. Hope your appointment with the nurse goes well.