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Message: <blockquote data-quote="mentat" data-source="post: 1677615" data-attributes="member: 86670">Hi Catsymoo,Have you considered getting an insulin pump? And then decided not to because having something attached to you sucks?Look, they are annoying at times, but they can make diabetes much less annoying. Not only would you be able to take insulin discreetly whenever you wanted, and your basal would be delivered at the right time, but you would also have a much higher chance of getting your unpredictable insulin needs under control.Now let's get onto your problem:I'm going to work with what I've got here (which isn't much - varying your Lantus so much is an "all bets are off" situation, really).These are problems I can think of:- Physical activity at work is making you very insulin sensitive- NovoRapid is working quite slowly- You are digesting lunches quicklyThe first thing to be said is that One hour after eating is a very unreliable time to test. It is hugely affected by changes in digestion rate or insulin release rate. If you are 14.6 after 1 hour it doesn't mean you didn't take enough insulin. It sounds like you took enough, but it is acting slowly in comparison with digestion.There are ways to increase the rate of insulin release, such as bolusing a bit earlier and massaging the injection site. I have used intramuscular injections in the past to great success. Your body may have developed a specific reaction to NovoRapid, in which case you could try switching insulins. (Especially Fiasp.)If it's just an exercise thing, you will need to find a way to manage that. Maybe have lunch an hour earlier, or use one of the above techniques, or eat more before/during your activity. Maybe a larger lunch will help (I find that eating more means it takes longer for the whole meal to digest).If your body is having an unusually slow response to NovoRapid, this will throw everything off, especially if you change your dosages based on what you eat, because you may have unpredictable amounts of insulin lingering in your system from 6 or more hours ago, and this will vary day to day. It would also explain your overnight hypos.Finally - are you on the extended release Metformin? If not, try to get on it. That way your day-to-day sugars will be less affected by forgetting a dose.</blockquote>

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