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Message: <blockquote data-quote="SimonP78" data-source="post: 2738672" data-attributes="member: 556474"><p>Are all T2 diabetics seen by GPs rather than hospital consultants? It does sound like with a very variable insulin sensitivity across the day you may not benefit from increasing basal if it's then making you run low (and then need to treat the low). It would be interesting to see what happens in the absence of food (not all in one go, but different time periods split over a number of days). If you can establish when you require the basal insulin to be active, which you may be able to do just from experience, then an alternative might be to move to a "less flat" basal/long acting insulin (e.g. isophane, though I'm no expert) which has a longer activity than the fast bolus insulin (and therefore lower risk), but a much peakier and faster action than lantus (to potentially better suit your requirements).</p></blockquote><p></p>

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