Yeah, T1 is pretty much just a pain whatever you do. Low carb does make it quite a bit easier, and I imagine would pretty much be the only safe way to eat if you were using a non-rapid insulin.

Unfortunately (doctor's orders) I also have to cut back on the cholesterol, which seems to be very high in all my favorite low-carb foods :( It's a constant experiment; it may turn out to make more sense to eat more fat but take statins, but I need to wait a bit longer and see how my lipids look with the current diet.

(BTW I'm actually doing fine -- pretty decent control/A1C -- but I had to rant in response to the Walmart insulin suggestion above!)

Some other things that raise your glucose and you need insulin:

- waking up, liver produces glucagon

- stress at work, hormones going wild… including glucagon

- weather changes, when it is cooler you need more insulin

- you get sick. 2-3x insulin for me

- liver just having a normal glucagon production, that needs insulin without you ever eating anything

Nice that you have your A1c in control. Mine is 5.8% without too many hypos after 26 years of having T1. The tech I need for this costs a fortune without insurance, but at least I can finally live a normal life without nasty surprises every day.