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Message: <blockquote data-quote="AndyS" data-source="post: 206511" data-attributes="member: 20775">Hi kelp,I know how you feel. I am having a bit of a blip right now, lukily for me not as bad as you (sorry), but I think I know the reasons and am working on it.It sounds like what you really need is to get a handle on what your different insulin requirements are. Everyone is different and everyone is different at different times of the day.For instance my insulin ratios are different depending on the time of day and then even then they can change depending on physical activity. You kind of need to keep a good grid of your insulin intake, food intake and BG so that you can actually see the patterns.That is kind of what DAFNE is all about. Teaching you how to recognise the patterns and work out what to do about them.Until you do go and do DAFNE perhaps this will help you make a start on the Carb counting: <a href="http://www.bdec-e-learning.com/" target="_blank">http://www.bdec-e-learning.com/</a>I was only diagnosed a couple years ago but found this site and this forum to be an awesome help.You don't go into much detail and given how you must be feeling right now I don't think we could blame you. Maybe the problem is your basal insulin is not quite right, I know my levels were all over the shop before I got my basasl insulin pegged.What you may want to try doing initially is doing some Carb free meals at different times of the day. Then watch what your levels do. If they go up in the hours after the carb free meal then chances are you need more background insulin. Depending on what you are using for background insulin changes how you need to make changes. For Lantus you need to make a change and then give it 3 or 4 days (I used to go a week when I was on lantus) after the change for things to settle.Levemir you can see the changes almost straight away.It is a tricky thing to work out since you are trying to juggle several variables and you will always be advised to only change 1 thing at a time, good advice by the way.So don't beat yourself up or convince yourself that you are stupid or such. I work in a building for of PhD's and professors and when I have chatted to them about how I control my diabtes some of them really do struggle to get their heads around it. So take heart, you will get there. As you know it just isn't a quick fix. While you are getting things in order it may well help you to try and stick to a really strict timing regiment for your meal times. As long as you accurately count the carbs in the food you are still fairly free there.Good luck <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink    ;)" loading="lazy" data-shortname=";)" />/A</blockquote>

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