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Message: <blockquote data-quote="azure" data-source="post: 1561301" data-attributes="member: 39639">[USER=436479]@MarkUniqueUserName[/USER] The thing that stands out to me there is that he's not testing his blood sugar. If he doesn't test his blood sugar, then that makes things harder.Yes, he might think he knows when he's high, but confirmation on a meter allows much better control.I'm not sure what you mean by "running lean on insulin" but he should be testing before he eats, counting the carbs in what he's about to eat, injecting the correct amount of insulin, then eating.Does he count carbs? That's crucial to good control.The book Think Like A Pancreas is fantastic - and a friendly read. There are also online courses like BERTIE that can help with good control.Edited to add that there's also something called Diabetes Burnout, where the person just gets mentally exhausted by the effort of controlling diabetes day in, day out.Do you know his HbA1C, by the way?</blockquote>

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