| Don't beat yourself up; you always seem confident in the way you treat your diabetes and for the most part it works for you. That's almost certainly more than can be said for most of the other patients on his books...
The thing that doctors don't seem to 'get' is that once your control is good and you stay in a decent range for the most part, running high can make you feel pretty grim. It's just the baseline you are used to.
I can remember when diagnosed my BG came back as a 27 or so (486). Once the insulin started, it came down to decentish levels within a few days. The first time I had the symptoms of hypo, my BG was over 7 (126) so I was anything but. However, I genuinely believe your brain gets used to an awful lot and, once you're in that zone for a good long while, doesn't complain anywhere near as badly as perhaps it should. Hence both hypo unawareness and the reason why there are loads of off the rails or undiagnosed folks out there running in the mid 20's (400's) day in day out without batting an eyelid...
When I split my Lantus dose in February, I ran quite a bit higher for the most part and I felt just plain awful. I wasn't silly, spilling ketones high. Just up there a bit. It made my brain wilt so badly that I had to go back to the previous methods and stuff myself before bed. If doctors could get how bad a prolonged 10 (180) feels to me when I'm used to running between 4 and 7 then I'm sure appointments would be more pleasant.
Gary  | 
