Finding right levels of medication

I'm new to all this and need to know how the right levels of medication are arrived at.

I am currently prescribed 2 x 500 Metformin and 2 x 80 Gliclazide. I have been trying to adopt the low carb diet having already worked out for myself via testing that this is the only way of keeping my levels low.

I was 20 at diagnosis after fasting, but on the medication and diet, yesterday my morning result was 5.8.

However, even on this diet my bs levels following food are pretty volatile. At points during the day, at one hour after eating I was hitting 15, having had a busy (though not very active) day and not been able to manage my eating timetable too well.

Someone one the forum suggested knocking off one of the gliclazide, as it may be that my body is producing too much insulin for my low carb diet, so I didn't take last night's glic too see what would happen, and this morning it was 9.1. Not so good.

Is it too much medication? Or not enough? Or not the right combo? I just don't know. Can anyone shine a light?

Thanks for the replies.

I did much better yesterday, not over 10.3 at all, most of the day under 8 until I decided to have some low sugar choc It was completely necessary!

I have the same problem with the starches, gbtyke, although new potatoes seem to be tolerated quite well. I'm testing Ryvita this morning, seem to think I had them a couple of weeks ago when I wasn't paying quite so much attention to the carbs, and they were not too bad. I can't have bacon and egg every day, need to have a range of breakfasts, but can manage quite well the rest of the day low carb.

Went to a NHS diabetes education day yesterday and heard all the usual advice about eating starchy carbs. I piped up that they make me spike badly, and the dietician looked at me as if I had grown two heads. Then said that I must be unusual.

Let's just say she didn't encourage me to believe that independent thought and questioning of established norms would be welcome.

I decided discretion was the better part of valour, when it came to her telling us all about safe levels of alcohol, and didn't say that I had recently heard the scientists who had set the levels admit that they had made it up.

Next week we are learning all about 'lifestyle' and setting targets which I think is probably much more fertile ground for dissent as I will be armed with my own evidence of low carb success. Not that any of my fellow students seem that bothered about their levels, maybe they are managing ok on carbs, but I wasn't.

Biscuits and crackers are the only thing I really miss, bread & cake I can take or leave, potatoes not that bothered about (although I'm ok with new pots). Haven't really experimented with rice or pasta, they are next on the list.

The ryvita raised my levels by about 2, which is ok as long as I'm under 6 to start with, but that doesn't often happen in the mornings. May have to run round the garden before brekky.