hi kevin ,my son does have a endocrindogist but we can only see him once every 3 months,inbetween we have to phone the childrens diabetes specialist nurse,i phoned 2day and discussed the ongoing problems again but have been told to lower his insulin level am from 23 to 20 to stop the hypos and wait a week to see if his levels get higher if they do (which they will)as been down this road before,i then have to phone back and tell them.they also said if this happens they dont know what they will do next.recently spoke to our local gp about this and she wrote the endocrindogist a stinking letter about them letting this go on for so long with the highs and lows and asked them to change his insulin to long acting with fast acting before meals .but as yet still waiting his next appointment is end of feb with endocrindogist.i hope he will change his insulin as my son really thinks he is doing it wrong but he sticks to his diet and he does get down about the constant change in levels.i cant blame him ,i would as well.i really believe it all comes down to sticking to their budgets....thanks again.