I agree with you that dose adjustment with carbohydrate counting is a good method to obtain better control. A fixed dosage will only work if all your meals contain more or less the same amount of carbohydrates. The fact that you have collapsed, really indicate that you need a proper re-evaluation of your medication. There are different options of short-acting insulins available and one should evaluate your food dairy and readings and then make a decision. The fact that you are also exercising a lot may also contribute to your current problem and it may be necessary to decrease your long-acting insulin dosage or if you use a long-acting insulin with a peak change to a long-acting insulin without a peak action. There are a number of Endocrinologists in the Durban and Umhlanga area - I would really advise you to book an appointment with an Endocrinologist to help you to sort this out.
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