You're right, there are too many things that go wrong in healthcare but there are also individual nurses and doctors who do a fantastic job, picking up on issues that others miss, and so on. I look for those ones and hang onto them when I find them. If I'm honest there have been about 50 mistakes made in my care over about 35 years - most of them didn't do lasting or major harm, and the ones that were significant still didn't cause loss of function of a body part or, obviously, death. The biggest issue I have faced was being fobbed off and told it was all in my head, then to find out years later that other doctors proved I did have the illness, using objective measures like CT scans, blood tests, surgical findings etc. In many cases, the doctor who missed it has given me a sincere apology, and I could tell it was genuine, and I accepted it. I do think that for the doctor, when that happens, it stays with them and they always remember to suffering they could have helped me avoid, and it makes them a better doctor, who can help hundreds of other patients avoid the same fate. I had to decide to stop dwelling on it or I would be missing out on the present and the future, for no gain. I'm almost totally certain that once your BGs come down to the target range, your tiredness will reduce to a bearable level or even go away completely. I know what that tiredness is like - mine only resolved very recently. I call it "extreme fatigue" or exhaustion. The fact you are able to still work full time is a credit to you. I have been through periods of sleeping for virtually all of my time off work in the evenings and weekends. It becomes depressing in itself because you know you can't do the things you want and need to do. While you wait for your BG meter, the fewer carbs you eat the better you will feel. If you are hungry, don't skimp on meat and full fat dairy products, as they will help. A few days of reduced carbs is unlikely to have much impact on your readings, so they will still be valuable to you. Drink enough water and try to conserve your energy and rest. Pamper yourself with hot baths and other things you enjoy doing that aren't alcohol or other things that will make you more fatigued. That's about all you can do while you wait for the next steps, IMO. You are right about glucose in the urine. Normally there should be no dumping of urine from the kidneys into the urine. It's what the body does when it can't reduce the glucose from the bloodstream. The body is really quite amazing, in what it does to keep us going when something is going wrong. Fortunately we can help it along by eating better and if needed, taking medication for short or longer time.