Hey, @Irish –
I’m sorry that I’m a bit late to the game here. TBH, I’ve been mulling over whether or not I should share my thoughts or not. I realize that you may not be entirely happy with my opinion. But, I’m sharing it because I want the very best for you and your family.
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First, I will risk being the lone dissenter. Correct me if I am wrong, but I see 5 hypos of <55 in two weeks. If so, you’re having too many moderate lows. (Perhaps I should duck now?)
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Metformin should allow you to use less insulin – which should translate to a lessened hypo risk from stacking. Thus, I’d press for it.
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I would consider running a tad higher – reducing your hypos and variability.
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I’d also consider gathering your thoughts and emailing them to your D team. Ask that it be part of your record…
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If you’d like to explore the possibility of a glycation gap, you might request a fructosamine test alongside your next A1C.