At the end of October, by diabetes took a sudden turn for the worse. I'd been on gliclizide for a couple of months, which was having a positive effect, when suddenly my blood sugar started going up, even though there had been no change in my diet or lifestyle. After a week of monitoring my sugar level and keeping a food diary, my diabetes team decided I needed to start injecting insulin. Since then, I've been taking Novorapid 3 times a day at lunchtimes and Lantus every night before bed. They keep putting the dose up, but my blood sugar is refusing to budge even slightly - its averaging around 14.5, occasionally peaking at 19 or even 20, and never dropping below 7.8. I'm now up to 10 Novorapid per meal and 30 Lantus every night, with no sign of improvement. A lot of the time I'm in a brain fog (apart from a couple of hours after every meal), which is not good as I'm a self-employed writer with deadlines to meet that aren't being met as I'm having trouble stringing words together most of the time. I'm not overweight, the dietitian is happy with my diet, and I get a reasonable amount of exercise as I don't have a car and walk everywhere. My diabetes nurse is starting to seem like things aren't going according to plan, saying things like "I wonder if there's something we're missing" and asking me to demonstrate how I'm injecting to make sure I'm doing it right. She'd like to put me on metformin, but last time I tried that (even the slow release variety) it made me sick. I'm beginning to wonder how long this is going to go on with no improvement, whether I should be seeking a second opinion. I'm 51, and worried that if I'm going to be taking huge amounts of insulin now, how much am I going to be taking by the time I'm 60?