My opinion of the sliding scale: It’s like hiding from the tornado after it has already hit! The damage has already occured. You are treating a high just before a meal, a high that has been high for 4 hours already. It just does not make any sort of logical sense! I did this for a while! Things were getting pretty bad. I am also a nurse and I see clients treating a 400 BG, stuffing their face, it goes right back up and stays that way until the next meal! That blood is like karo syrup by the end of the day! No wonder there are so many complications. It is time for diabetics to start jumping in the cellar ahead of the storm! Treat yourself for the number of carbs you eat not for how high you already are. If your doctor thinks you are too stupid to master this, find a new one or at the very least tell him he has insulted your intelligence. 99.9% of my patients have figured this out, no problem. Thoughts…….