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I know thyroid issues goes commonly alongside diabetes but I have yet to meet any personally..... although the wife has an underactive thyroid... what effects does the graves have on the BG management....?

Looks to just be one of these times were the basal needs just differ too much for a single long acting dose.... you will always need to compensate in either the day or night with a single dose..... see how you get on with the current situation then maybe consider a split maybe...

Ha ha, really...... you recent posts kind of paints a fed up and tired picture, but really, your a young pup..... its likely the same for a lot of people on this online setting.....

I thought you were a lot older for some reason.....lol....

If you squeeze out 1 unit on to a table or other surface you realise it hardly anything.....so I can imagine a half unit being even harder to spot.... if it primes up and you have the half unit pen then you just need to trust its functional...;)

I'm sure the following formula will give a rough guesstimate: Avergae BG+2.52/1.583

The consultant will be the specialist doctor at the hospital clinic.... It sounds like you have been given the prescription wrongly....but by who? that's the mystery..... until your health board sort out the issuing of them, I would stay quiet....

What happens of you don't get something to eat.....? I would assume your liver kicks in and top you up but it still feels unpleasant..... how long has this been happening.....? as your not medicated [I think] you shouldn't ever go dangerously low and so it may be a case of letting your body...

Metformin basically does a few things, curbs your appetite and withholds the uptake of some of glucose into the blood stream from the food you eat...the science behind it is beyond me..... Ultimately keeping levels down, so I don't know if that will do you any good.....but am no expert...

That makes sense......the same goes with Lantus with regards a change and seeing the effect..... my advice......go with the champion, Levemir....;)

That's a relief you now have the correct diagnosis..... Well done for spotting it.....

Apologies for my lack of knowledge but why wouldn't a similar 2 units of Tresiba work the same....?

I think if you aren't introducing carbs then its very likely your BG will be great.... are you medicated....?

It sounds like you have just struggled to balance the insulin dosing and the activity.....which is a hard thing to do for some... my previous attempts to deal with regular exercise have never been consistently successful..... what is your approach currently to the gym and table tennis?

I've not even been able to ask anyone about it as I haven't had a clinic in over year..... but I am not in any rush for it fortunately....

So you have increased the Lantus to as much as you could in order to wake up the same as before bed? A split basal dose would allow you to target overnight and during the day separately, so smaller doses and therefore more efficient... If you done that that would mean that you would need to go...

Basal insulin's are designed to hold you steady......so if your liver is spewing out an unchanging level of glucose for the critical systems over 24 hours, then yes.....a single dose basal insulin will do the trick..... If you find this spewing out of glucose is different overnight, when you...

As I understand it from the response letter, there wont be any movement on Libre in Lanarkshire until after June.... Is that right?

I think CBD oil can hep in many ways but it just sounds like you need more insulin in this case... starting with your background.......what was your pre bedtime test at?

Sorry to hear of your recent set backs.......... At least now though you're on the journey to getting better... Low carb is the way to go in this early stage of insulin treatment... Someone will be along shortly who can talk about that kind of diet and how to begin..