Hi Nigel, and I am glad that you have found this forum. August is a long way off, and if I had levels like that I would certainly not want to wait until August, and I would feel very poorly. The Basal/Bolus regime that you have been switched to will give you the chance to adjust your insulin to get the levels down to safer levels. It would certainly be useful to look at the BERTIE course online to give you some ideas about how to do this. Can you contact the hospital and ask for an urgent appointment, if not with the consultant then with DSN (There May be a contact number in your appointment letter) These are not the same as the nurse with a special interest in Diabetes that are in the GP Practice. You need specialist support to help you make effective use of the insulin’s that you are using.