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Humulin what?... there’s humulin I, humulin M3... one is intermediate, one is a mix. You don’t need bolus insulin.

What dose? 1.5mg? The drug works by slowing down food absorption, reducing hunger levels etc. If you get the nausea then 1/2 the food portions you normally have and it should go. You should go into it whilst trying to cut down what you eat... It’s not cheap.. It costs the nhs £73/month for a...

Because the research studies show the benefit. Carb free often isn’t suitable for people, can make other bloods go off tilt. SGLT2 studies also are finding them to be cv and renal protective

diabetes makes glucose high, medication can cause glucose to go too low. Unless you’re taking diabetes drugs you wouldn’t have a glucose of 1.1mmol/l unless you have some obscure endocrine issue

Max gliclazide dose is 160mg twice daily, you also have a host of other oral medication choices... insulin would only be normally considered if you were on 3x drugs ( unless these aren’t suitable for some reason) and still not to target

If you’ve stopped taking insulin and you’re not in hospital then you’re own pancreas must still be functioning to some degree... sounds likely that there’s a downwards trajectory though like a honeymoon period. What are your glucose readings? Confirm- you’re taking no insulin at all?

NHS requirements for funding the libre are public knowledge - google search it. It’s the “diabetes specialist service” who makes the decision.. whoever that is (DSN or Endo) is down to the local CCG

Look at the EMC/BNF/NICE advice - you’re not supposed to take the sglt2 if on a car free diet or you’re fasting DUE to the risk of ketones

Ketones are more a side effect of SGLT2s than a benefit. Your kidneys can only naturally filter out a certain amount of extra glucose - the drug allows more excretion. Theyre also cardio and renal protective. SGLT2s cost around £50/month, they’re not considering making them first-line treatment...

Seen the c-peptide comment further up. Hmm it does make me wonder whether your insulin production is decreasing but your low carb diet is compensating for it. I’d either bring in some carbs or continue to watch your fasting/morning blood glucose and monitor if it starts to increase.

I know GADs have a false negative 1/3rd of the time. Do you know if you had a c-peptide? That’s an indication of how much insulin your pancreas is making. Are you able to tolerate any carbs at all? That’s the only solution I see.. have some carbs for a few days and see if your glucose...

It costs the nhs about £75/month for ozempic FYI

When eating carbs you shouldn’t be obtaining a post-meal glucose of 12mmol/l. I’d get a hba1c done. Any weight loss?

I figure it’s a money thing. I said in another post it’s around £9 for 50 strips which works out to around £250/year if testing 4x/day. If you estimated that all diabetics in the UK were given money to test 2x/day it would cost the nhs 650million/year.

Yeah I get the point that those who manage their condition well might feel punished compared to those who don’t!

I kind of agree with her though. I’ve looked on BNF through google and for 50 glucose strips the nhs pays £9... monitoring 4x/day (sounds like you’re testing more) for a year would be around 1440 strips/year, or £259 to the nhs. 5,000,000 people in the UK have diabetes. Do the math.

You only need to monitor blood glucose if you’re going to use the reading for something or you’re at risk of hypos. Why would you need to monitor your blood glucose? Why isn’t the HbA1c enough?