At the moment, I do not have an endocrinologist or a diabetes educator or, indeed, anyone helping me. I believe passionately in the necessity -- FOR ME (I make no prescriptions for anyone else) -- of eating quite a low-carb diet, in order to try to manage my diabetes, but all the endo's I have seen (and I've seen four, all highly regarded and expensive, since April) buy into the American Diabetic Association guidelines, and want me to eat at least 180 grams of carbs per day. I think this would be disastrous.
I'm currently eating fewer than 40 grams of carbs/day, often fewer than 30, and I'm following the insulin guidelines I was given in April: check my blood sugars before meals, and take 3 units of Novolog if my BS is 100-150, 7 units if it's 150-200, etc.
This ain't working. I am struggling to get my blood sugar levels below 200, and in the morning (I take 28 units of Lantus at night), they are typically over 250. I know I need to increase my insulin, but I don't know how to do this safely. Can anyone advise?
Also, I am pretty desperate, at this point, to find an endocrinologist I can work with. I'm in NYC, but am willing to go just about anywhere to find the right doc. All suggestions WARMLY appreciated.