| Can I express a somewhat controversial opinion?
Pizzaman, I think your theory of control is fine. The best way to stave off complications from high blood sugar is to maintain BG levels equivilent to that of a non-diabetic.
However, whilst you know the theory, you're not actually practising it.
Non-diabetics don't have 4 hypos a day. Non-diabetics probably don't even manage 4 'real' hypos in a lifetime.
The problem is that you're trying to precision-manage your diabetes with imprecise tools. I can understand exactly why if you're a little over 100, you feel you should take some insulin to bring your levels back down. The problem is that even the fastest acting insulin works for over 2 hours - which means even a small amount of insulin at say, 110, will put you down in the 30s and 40s unless you eat.
I could understand your approach if it was a case that you took the insulin, it took you to 'normal' and then you stayed there. But there isn't any type of insulin available that can do that.
I don't wish to dishearten you but I do feel that your fear of complications has actually caused complications of a different kind to happen. The reason we all want to avoid complications is because we don't want the state of having diabetes to impair our quality of life. But I think that your intensive glucose management IS impairing your quality of life. If what you've posted is accurate, your self-admitted educational problems and your current employment are entirely down to having diabetes. If you had avoided complications, then you would have a freer choice of jobs.
I'm all for preventing complications caused by high blood sugar, but I think you're suffering from complications caused by LOW blood sugar. The cells in your brain need a steady supply of glucose to function - if they don't get enough glucose, they die. It is actually possible to sustain brain damage from frequent hypoglycaemia, and I'm sure you'd want to avoid this just as much as you'd want to avoid retinopathy or neuropathy.
For what it's worth, I really think you're pushing yourself too hard. I couldn't live my life like you do, having my choices limited by my condition when there isn't any real medical reason for it. It's perfectly possible to avoid complications from high blood sugar and yet lead a totally normal existence. If you're happy then that's fine - I'm not going to tell you to change how you do things because you've obviously reached some sort of comfort zone, and if it's really worked like this for the last 30 years then I guess that's something. But I think you're expecting too much of yourself unnecessarily. | 
