Hello, I was diagnosed with type 2 diabetes when I was 14 and I'm now 27. After lurking on these forums a lot last year I decided enough was enough with my poor diabetes control and started a low carb diet of around 30g of carbs a day. For the last couple of months my readings have all been within 5-8 range, mostly 6s and 5s which has been amazing. I did get a bit sick in December due to my stomach rejecting PPI medications I took for GERD which resulted in a fair amount of hypos, but that all stopped by stopping the pills, and I find I can get away with some Gaviscon every couple of days right now. I did "cheat" on my diet on Christmas day (the 25th only), and had some raised levels (10-11) afterwards, but was seeing the familiar 6s and 5s again within 2 days so I thought all was okay (I know many disagree with doing this but since this is new to me I wasn't quite ready to go "cold turkey" for one day). But since 1st January my bloods have consistently been high, in the 8-11 range. This is unusual because even when I first started this diet my blood sugars fell within days, but these high 8s 9s and 10s are sticking around very consistently for a week now. I take 320mg of Gliclazide and 25mg of Alogliptin daily. There have been no other lifestyle or medication changes. For breakfast I'll have scrambled egg made with double cream and two slices of "seriously low carb" keto bread, which is 1g carbs per slice. I don't tend to have lunch but can find my sugars lower with 3 "meals" vs. 2 so might have some pate, low carb sliced meats or a DGF cookie (these are keto and have never bothered my sugars prior). For dinners I'll have some low carb meat with 4.4g worth of salad and around 6g of green vegetables. It comes to between 23-30g a day and I currently used a lot of pre-packaged things so I know I'm not miscalculating. I have spoken to my diabetes nurse today obviously upset about the situation and she doesn't really have any answers. She does want me to have genetic testing and I am due to see a consultant at the hospital on the 20th but have had very negative experiences of being told I'm "lying" about my initial test results (of being diagnosed at 14) in the past there so I'm not looking forward to it but of course am determined to get my sugars down. I've just been diagnosed with gum disease despite having good dental hygiene habits which is no doubt due to raised sugars in the past along with me having autoimmune conditions like uveitis and psoriasis (inflammation). I don't think this would be the cause of the recent spikes though as my gums have been inflamed for a couple of years now. My nurse has mentioned MODY and that I seem to fit the profile for Lipodystrophy, but since we've failed to get me further testing in the past I can't offer much more there. I know nobody can offer me medical advice but I was wondering if anyone else has dealt with sudden consistent increases of blood sugar for no reason they can think of. I'm not due a cycle and never see raised sugars with them anyway and it confuses both me and my diabetic nurse as to why what worked just a week or so ago doesn't work right now. All she could say is perhaps I'm fighting off an infection I'm not aware of but as I care for someone vulnerable I shield so doubt I have COVID currently and feel well. I apologize for the length of this but I didn't want to leave any details out. I did take insulin in the past but it didn't seem to lower my sugars very well and gave me terrible GERD symptoms.