| Gobbly, I’ll try to explain a little bit about how MDI works in practice for me.
I take lantus and Novorapid.. The lantus ‘mops’ up glucose between meals and needs to be accurately adjusted for the individual. Mine is and at the moment and I am able to go to bed knowing that my BS will be within 1mml of what it was when I went to bed. Last night my BS was 88(4.8) at bedtime , this morning it was (4.1). (this was a slightly higher drop thanusual but I had run 5miles yesterday in the afternoon). The Novorapid is taken with a meal and varies according to what I eat , what my BS is and my activity level. Using this method I have been able to keep my average BS in the normal range without eating a restricted diet. (although I try to eat healthily)
Todays schedule:
I have a fairly regular breakfast (porridge) and know how much rapid insulin to take for it .As I am going to sit in the car doing very little this morning I did not adjust it and took my normal amount.(4u).
At lunchtime I am going to eat out, so having read the menu, ordered and waited to see my meal I will estimate how many units to take . I will check my BS and then inject the dose at table. (I use a pen and it easy to do it discreetly). Again I will probably take a normal dose since in the afternoon I’m going to watch a Carneval, so I won’t be active. If I had been going for a long walk or a run I would reduce the amount of insulin. After about 2 hours I will test my BS again , just to make sure that I dosed accurately at lunchtime. If I took too much insulin and my BS is a bit low then I will eat a biscuit or a handful of smarties.
I will repeat the same test, estimate, dose procedure for my evening meal, it will be easier to do since I will be at home and know from experience how much insulin different meals need. I will also take my lantus at this time. I sometimes test at two hours after my evening meal, but often leave it until 3 hours so that I know what my BS is for bedtime and whether I need to eat a few carbs before bed.
Not all days are as simple as this because I exercise a lot and have to take this into account but it really does allow flexibility.
The other day I started a journey at 4am and just had a cereal bar before travelling with a small dose of insulin, I had my next meal 7 hours later at 11 am (traditional breakfast) at the airport and at 6pm a dinner at my destination. My BS fluctuated a bit more than usual (especially after a 40min hold up on the M25) but relatively little.
For both my lantus and my Novorapid I use pens with tiny 5mm needles. If you can overcome your fear of needles I’m sure that you will be able to both control your diabetes and lead a flexible life. I think that you will need to learn more about nutrition etc but that really isn’t difficult. If you do decide to change you will need the support of your doctor to help you adjust doses etc. I’m not in the UK but from what I have read this help is more likely to come from a clinic than from many GPs
Sorry to be a bit long winded but I think like others here I’m a bit worried about your high BS and would like to convince you that MDI does work and is really not a big hassle.  | 
