i'd be interested in theories on the tiredness thing, i've been diagnosed since 07 and was on glyclazide and metformin and laterally byetta as well and prior to xmas 08 my levels were getting out of control, a chest infection which turned into double pneumonia, multiple organ failure etc etc led to those meds being stopped while i was in hospital as they had me on an insulin sliding scale while in a coma and the ICU, after that they started me on twice daily injection which i have carried on since leaving hospital at the end of january and have been on 70 units twice a day. leave aside all the sudden weight gain when i stopped the metformin and started on insulin but there is the tiredness issue. i should say that i am on 100mg of thyroxin for my thyroid too and recent test results show levels as stable. its not so much tiredness i suffer from its the sudden nodding off for no reason at all, while reading, while typing an email, mid sentence while talking to others!!! i just blank out, for a few seconds, a few minutes, maybe even an hour or two, the number of times i've made a cup of coffee and sat down to drink it, nodded off, woke, went and reheated it in the microwave, nodded off long enough for it to get cold and repeated this several times. its not because i am tired, i don't feel sleepy and nod off i just pass out, i don't associate it with high or low levels, in fact for the most part they have nothing to do with it and i can pass out at 11am just as easily as 11pm. dolctors just think i should go to bed earlier, get a good night sleep, what is that? i've lived on a max of four or five hours sleep since i was 12, less in the summer months, if i go to bed at all i am up before daylight, to sleep in, have a long lie to me means 7am, it has nothing to do with feeling tired or needing a nap, if i needed one i'd have one, any ideas? i also have MS but i don't see any connection between that and the diabetes