Very interesting visit to the nurse specialist today.  She had a read of the letter from the consultant which mentioned that I had asked about lchf and was advised against it.  She just looked at me with a smile, and though I had resolved not to say anything, I fessed up and told her I had rebelled and been doing lchf for months.  She then said that she had been doing low carb too!  I told her all about Trudi Deakin' s change of view (she hadn't heard of her), and advised her to have a look at diet doctor, lol :grin:  She took great interest in what I was and wasn't eating, and how well I felt compared to before.  She was pleased with my bg's generally, and not too concerned about my fasting, but just said to increase my pm dose of novamix to 56.  I also asked her about Forxiga, and she said she had been thinking about that too as it would help with my weight loss and I could come off the Sitagliptin, and she is going to email my Consultant to prescribe it, as I won't see him until June.  So, it's been a very positive and productive visit!