<<Disclaimer: Verify this information before applying it to your situation.>> Hi Steven, It seems to me that you have a good handle your carbs, so go ahead and change your insulin regimen. I've been on UltraLente twice a day, even though it's supposed to last a full day. I'm being diagnosed as well-- The anti-gliadin antibodies were positive, I have malabsorption, and have been losing weight. Now I'm supposed to have an endoscopy/biopsy. Are you having that procedure? I read today that an x-ray can also show symptoms of celiac, and I'm going to contact my doctor about having that instead. Courtney