itconor, I'm with noblehead about this. Talking it over with your doctor or consultant is the first step. Indeed, the most important step. In fact, talking it through with anyone may help too and by posting your message on here is perhaps the start of a better journey for you.
Ten years ago after 40 years on insulin something similar happened to me. Seriously bad hypos began and I began to get phobic about them. I had no idea of the cause. I did most of things you are now doing but, if I can be frank, they still didn’t get rid of the anxiety which was overwhelming. Even if I felt the tiniest bit ‘odd’ I’d rush to test my blood and usually I wasn’t low at all.
I used to sit and try to figure out why, after so many years on insulin, I had become terrified of injecting insulin. I’d had bad hypos before and dealt with them but those hadn’t left me feeling as I did now.
My consultant was fantastic and reassured me that I was not the first patient he had to help with this. One very important thing he pointed out was that crushing anxiety plays games with you and tends to find then attack your vulnerabilities. For example, those odd feelings which convince you that you are about to hypo and you are not.
He set a plan up, I saw him weekly and as far as I am concerned he was my God. Indeed he still is.
He started with the practical stuff. I’d to make sure I had a back-up plan and a way to contact someone immediately if I was going hypo (I’d been widowed a few years earlier and now lived alone). That was done (an emergency and cheap alarm system connected to a neighbour) and it really did help. For a short period he also had me eating first and injecting afterwards but keeping the same dosage, not reducing it. That worked too. There were other things he suggested and I cannot think of one that didn’t lessen the stress for me. But hey, these were things that worked for me and you need to talk to the consultant who can tailor a routine especially for you.
Don’t be embarrassed about asking for help. As you can now see, others have done it before you.
So, make that appointment!
Bill