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Nice guidelines provide that CGMs should not be routinely offered to adults with type 1 unless there is hypo unawareness or extreme fear of hypoglycaemia - https://www.nice.org.uk/guidance/ng17/chapter/1-Recommendations#blood-glucose-management-2 - to be honest, if you aren't under a...

Do you mean you hit a low at 6am? If so, how low was low? Or that you've hit a low at 6mmol/l? 6mmol/l isn't low. Yes, DAFNE advises only correcting at meal times. But obviously, if you're going to bed with a blood sugar that demands a correction, without a corrective dose you're going to...

If you're 3 weeks pre half, you're kind leaving it a bit late to figure this out. You can only have 2 long runs left. I don't carb load. But if you are carb loading immediately pre half then bolusing for it would be unwise. If you want to take insulin with a carb load then you should at least...

If you've recently eaten dominos pizza, cookies and ice cream you are highly unlikely to be in nutritional ketosis and your ketones are likely to be the BAD ketones requiring correction with insulin to avoid DKA.

Yes. Although those on insulin would be best advised to aim to be waking slightly higher to avoid nocturnal hypos. Some people can find caffeine can raise blood sugar What is the question here? You could be raising later than 2 hours because of the pizza effect or because of gluconogenesis...

Target blood sugars in pregnancy are much tighter: <5.3 fasting <7.8 1 hr post prandial <6.4 2hr post prandial because high blood sugars can cause foetal abnormalities and miscarriage. So if you're trying to conceive you'd be well placed to try and stop spending the evening in double figure...

Do you pre-bolus? Are you carb counting and confident the insulin:carb ratio is correct? Maybe have a look at the Bertie course - https://www.bertieonline.org.uk You need to remember that risks for diabetic complications are based upon hba1c scores. The target for type 1s is to have a hba1c...

There is no need for a low carb diet for a type 1.

So you haven't actually been diagnosed with pre diabetes? It is possible to have false hypos at euglycaemic levels if you have been running high for a while. But I wouldn't expect someone to have a false hypo at 7.3 unless they had been running seriously high for quite a while. That would make...

Well then you're definitely type 1 and you're definitely going to need insulin at some point. Starting on insulin while your beta cells are still working can extend the honeymoon period. And also give you more flexibility: type 1 isn't managed by low carb diet, it's managed by insulin.

On what basis were you diagnosed LADA? Have you had a positive antibody test?

If you're having more than 3 hypos a week you are putting yourself at risk of losing hypo awareness. I don't think it's entirely correct to say that hypos don't cause complications. There is a putative brain damage risk from frequent hypos. For diabetic control you need to remember that the...

That's nice. But the medical professionals are obviously treating you as a type 2 if you are on 2 shots of insulin a day. And being on a total daily dose of 112 units strongly suggests insulin resistance. Type 1 is an autoimmune disease where the immune system kills off the insulin producing...

So she's not on any blood sugar lowering medication? If she's not on any meds 4.1 is not too low, nor does it in anyway suggest diabetes. It's perfectly normal and healthy.

Does she have diabetes?

Usually the basal dose can be determined be basal testing - https://mysugr.com/basal-rate-testing/ - but it's going to be a bit difficult to do that on a 2 year old really.

What sort of numbers are the highs you are correcting for? What correction dose are you giving? When you are correcting, how long after the last meal and bolus dose is it? What is she up to after a correction dose? I'm assuming at 2 years old she's unlikely to be sitting stock still for any...

Change the timing, or the dosage, or the type of your basal insulin. Consider a pre-emotive corrective bolus shot. Or, get a pump so your basal rate can be bespoked to deal with the dawn phenomenon.

A hba1c of 8.1 is equivalent to an average blood sugar of 10.3. The target is to have a hba1c under 6.5, considerably lower than your, apparently rising, hba1c. It's completely reasonably that medication would be considered. You're only testing 4 times a day? There's an awful lot of scope for...

As an NHS funded patient, it's your responsibility to insure the pump. If something happens to your pump while its within the warranty you won't get a new NHS funded one during the warranty period. If you take it off to go swimming and someone steals your handbag out of your locker, then no...