Just came back from an intermediate HBa1C review as my last test was 58 mmol; not good. This one 3 months later was 57 and still not good. We discussed insulin shots, carb counting and diet. To my surprise my DN suggested reducing carbs at all meals e.g. stopping the already small breakfast muesli and having an extra egg. Also stopping my lunch sandwich and just having the filling etc. Obviously also testing more often and trying to get the insulin dose optimal. I really was surprised and pleased to hear my DN push the low carb approach and I left having agreed with everything and knowing she will be providing good guidance to others. Perhaps the NHS really is changing although my complaint last week to the NHS website for providing very bad diabetes diet advice has produced a very weak reply i.e. it will be taken into account at the next content review. Meanwhile the Eatwell Plate and basing meals around starchy carbs remains in place.