I'm not going to argue with you about "the insurance company is the primary "doctor" that makes medical decisions above and beyond your PCP." They certainly sho

I'm not going to argue with you about "the insurance company is the primary "doctor" that makes medical decisions above and beyond your PCP." They certainly shouldn't be. But unless she is some rare outlier (I would need a bunch more information about the situation), their stance is logical and acceptable. My first impression, and I certainly may be wrong, is that anyone with a 5.1 HbA1c is controlling things a bit too tight. Her life, I won't argue, but switching insulins is not that precarious. Source: me, diabetic for 30 years now. Hell, I've fasted (no food) for 3 weeks and am still alive... In the grand scheme of things, my attitude is eking out a year or two at most at the end of your life due to totally tight control over 30, 40 years is not worth the effort. Losing weight and eating more vegetables (and less carbs) is more important.