My BG has been running in the upper 200's for awhile now. Occasional dips into the 100's but mostly really high. I've called my PCP to see if he'd put me on insulin or at least give me an insulin pen to bring down the spikey highs. He said that he didn't feel it was necessary at this time. I asked for a referral to an endo and was turned down and none of the endos will take a patient without a referral from their primary doc. I'm ready to give up and just let the BG go where it wants to. I'm on Januvia and glyburide but lately they don't seem to be working as well as they used to. Any ideas? Anyone?