@retiredteacher One of the problems we have with diabetes, especially type 2, is that we really do not know everything that can cause it. My numbers run all over the place like a bunch of toddlers playing jacks. Everything I can put a name to that can be gauged is impacted and and impacts my diabetes, and behind that to my Amyloidosis, Gelsolin. I can pinch myself down to eating nothing, and taking big doses of insulin and I still get readings well over 300 and under 60 in a few hours. My pancreomegaly is growing. Anyway, my point is that with a lot of this all we can do is keep trying, and taking meds, and exercising, and whatever, knowing that some place we are missing something which we probably do not know about it yet. I have a room full of experts telling me that I am doing it all wrong, but they disagree with each other on what I should change. I can not afford to change anything else except to quit taking meds.