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Your first priority should be getting that A1c much lower. If you can reduce the 10.3 to 8.0 by the end of the year, you will be much less likely to have diabetes related complications. If you can eventually drop below 6.5 you will be in great shape.

I understand your concern about dropping too low while your pancreas is producing insulin. If you test frequently and always have something, like glucose tablets, with you then you can prevent the lows from becoming a big problem. You should be able to tell when you are dropping low, and you should always test at those times. After experimenting enough, you will know exactly what to do to keep from having any serious problems due to lows.

You should eat something at bedtime to avoid lows while sleeping. I hope you have someone with you at night, in case you do have a low.

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