Hi @mizzdeb48 that is wonderful that you are supporting your sister. I’d like to invite her to join Mayo Clinic Connect too. There are lots of discussions in the Diabetes Endocrinology Group that she might find interesting and helpful.

I’m a 51 year diabetic. I alternate seeing an endocrinologist with seeing an NP. I also have a team of certified diabetes educators that I can see and a dietician (who is diabetic herself). All of these are great.

I’m assuming your sister requires taking insulin as part of her treatment plan. This takes some time to get the correct type, dose and route or method underway. Everyone is different. Usually there is a longer lasting or basal type for coverage 24/7. The provider will help figure out the dose and when it should be taken. There is also a shorter acting for what is eaten (meals and snacks) and for correction. This will involve calculating ratios of how much insulin is needed per grams of carbohydrate consumed. It is called the i:c ratio. It could change according to size of meal and time of day. The provider should help calculate this. There is a correction factor that determines how much insulin is needed to lower blood sugar by a specific amount over a particular duration of time. That can vary during the day and the provider should help calculate that too.

With new meds & types of insulin, technologies and various eating plans it can all get a bit complicated. It takes time to develop a customized treatment plan and may need adjusting over time. But it is very worth it.