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Message: <blockquote data-quote="EllieM" data-source="post: 2276432" data-attributes="member: 372717">Hmm, I'm assuming you're on a basal/bolus regime.Different people have widely different insulin needs, the 1U for 10g just tends to be a starting point, some people need 1 unit for 20g and others 1U for 1g.... And yes, it can vary by time of day and illness and exercise.But the first basal/bolus question is to get your basal right. If your basal is wrong then you have no chance to get the bolus ratio (or ratios) right.So how confident are you that your basal is right?Have your clinic refused to put you back on your old insulin regimes? Basal/bolus is great if you want to have more freedom about when and how much you eat, but if you don't want or need that freedom there's nothing wrong with a fixed dose system.I've never done DAFNE (left UK in 1999 and am not sure id it was around then)  but my NZ clinic have actually been pretty helpful in suggesting/tweaking insulin correction factors and ratios.  But I've got to admit that I find things harder now than I did 20 years ago, when I was on basal/bolus but not the "modern" insulins. I'm a little cynical as to exactly why new insulins are brought in. Is it to help diabetics or is it motivated by changing insulin formulations so that patents and pricings can be maintained....?  But I also suspect my issues are more related to the fact that I have more insulin resistance than I had 20 years ago, or just that I'm older.But as regards DAFNE, I'm pretty sure it doesn't work for everyone, as there are plenty of us out there who aren't in control of their diabetes.  I'd hope that it does help many, though.</blockquote>

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