November has been really difficult for me and diabetic "control" has essentially been a distant dream:- 4 November - pump disconnects at some point during Friday evening. I pass out on sofa, no movement all day Saturday. A little bit more with it Sunday but still very confused with high blood sugar. New pump on, corrections in. But still not coherent & my parents call ambulance. On Sunday 6 November I'm admitted to hospital in DKA & put on sliding scale. Discharged 8 November. On discharge I'm fully drained & sugars are prone to dramatic spikes and fast drops. 9 November I do a few jobs to test I'm feeling ok to go back to work, exciting things like popping to tesco to pick up my prescription. I successfully complete them. And when I get home at about 6:30, I pass out hypo on my hallway floor, and come to after midnight cuddled up in a pile of broken glass having kicked over a full length mirror when I went down. Bloods in hospital showed raised WCC (white cell count) and CRP. Both markers for infection. But I have had no symptoms. Urine clear. Chest X-ray clear. 14 November back in work, exhausted, difficult to concentrate, yoyoing blood sugar. 18 November. Days holiday so not in work. Despite getting calls on landline and mobile I dont answer because I'm fully passed out hypo. My CGM was alarming, but it went down so fast i was unconcious before it started. My parents come to check on me and I'm unrousable and clearly not able to swallow anything. I get woken up by the paramedic starting the second dextrose infusion, frighteningly confused and drained. Blood sugar was unreadably low when ambulance arrived and after I woke it was still 2.4 and took a while to come over 4. 26 November. Out for dinner, pre bolus & correction drops me before dinner arrives. Talking one minute, out the next. Was out for dinner with several friends who are doctors, the conclusion was if there was a crash bell, they'd have rung it. Very distressed to have gone down so fast, so dramatically in public - I can't really remember, but they basically had to feed me. My bloods are so far away from controlled. Woke at 3am this morning at 3.2, 3 dextrose tablets and back to sleep. At 8am my blood sugar was over 20! What is intended to be a nudge (and has previously worked as a perfectly effective nudge) now just sends bm soaring away in the direction of the nudge. Numbers are ranging from 1 - 20. The blood sugar variability is exhausting. I really don't like seeing the high numbers and the risk of over correcting is frankly dangerous as I don't have hypo awareness, CGM is at least 20 minutes behind and a "nudge" correction is currently liable to send me through the floor & I'm currently prone to actually passing out hypo. Which is horrible. I'm trying so hard to get back in control and am struggling to see a way through it. Because previously used management techniques are not working it's really starting to feel like diabetes is disabling - like I can't go out for dinner because I'm at risk of passing out. How do I get back in control? Is the first step to basal test? I've been thinking about trying keto because I'm definitely eating more carbs than before - is that a good idea? Any advice/thoughts would be gratefully recieved.