@ksdm welcome to Mayo Clinic Connect. As @celia16 pointed out your A1C is very good. From the height and weight you listed, you sound like you are taking very good care of yourself. That is to be commended.

In my opinion the type of diabetes you have doesn’t matter so much. I had an endocrinologist at Mayo tell me “Diabetes is high blood sugar regardless of the type”. You are correct to be concerned about “time in range”. You mentioned feeling like being “on a roller coaster” with too many highs and lows. Ideally the highs and lows can be reduced to achieve a time in range that more closely resembles a flat line.

Three things come to mind that might be helpful to you. 1) your monitoring system & devices. I saw in another discussion where you referred to the Libre Freestyle system. I came to that discussion and responded to it first. The Libre Freestyle is a continuous glucose monitoring system (CGM). Do you have one? You also need a glucometer. I talked about the difference between the two devices and how they compare. I actually used the term “rollercoaster”. That is a different kind of roller coaster than what you are concerned about in this discussion. In addition to these devices a good record keeping system can help you and your provider identify patterns and trends you are experiencing (the highs and lows). This can help to make better informed decisions about your treatment.

2) Your insulin. At Mayo Clinic Connect we don’t diagnose or prescribe. I’ve got to say I’m going on nearly 50+ years of diabetes (all types plus experiencing every treatment I know of). There are lots of types of insulin. They have different lengths of effectiveness and times of onsets. This can cause peaks and waning valleys. They are often referred to as long acting and fast acting. Some are a combination. 70/30 insulin is a rare one. I’m glad to know that you will be seeing an endocrinologist. The endocrinologist at Mayo that I mentioned above also told me that it is best to find the simplest treatment plan. Something that is too complicated can be overwhelming and too daunting to follow. Perhaps the endocrinologist you see in June can help you establish a treatment plan with easy to use monitoring devices & recording systems and appropriate insulin.

3) last but not least is diet and exercise. You said that you are following a “low carb (under 60 a day)” diet. I’m not sure what you mean by this. Again in the 50+ years I’ve been dealing with this I’ve encountered lots of dietary plans. In general low carb, low fat, low sodium etc. is a good idea but people are individual and there is no such thing as one size fits all. Perhaps your endocrinologist can refer you to a nutritionist that can help you customize a plan to best meet your needs.

I’m so sorry that you have not gotten the training and information needed to make your best diabetic journey possible. A 15 minutes appointment with a GP, 3 diabetes classes & 2 dieticians hasn’t been near enough. You will probably be ok until June but you could inquire about being on a call list in the event that something sooner opens up. Could you also clarify that this appointment is your first consult? It should be long enough to include time to review your history and labs (an hour?). Find out if there’s anything you can do ahead of time get the records of your history and labs sent ahead. I will keep you thoughts and prayers. I hope to hear from you again that you are making progress.