Type I&II diabetic poor control, poor pcp, what can i do?

Hi all, I have had type I diabetes for 15 years (since I was 10) and recently (the past 2 years) the docs have been feeling I have type II also. I have always taken huge amounts of insulin 100+ total units per day. I recently moved to a small fairly remote area where docs don't seem to have much experience with this. I've only seen my pcp here once and so far all she's done drop my control even further although she isn't against the surgery, just not very pro-active. I am fairly sure I want the surgery, however I'm not sure how I should go about it. I have gotten no recommendations on good diabetic docs in the area and am wondering if I should just try and contact the surgeon's office directly and see if they can help me. Or should I just try to wade through until I can find a good pcp who can get me in control? Any ideas? Has anyone had the surgery who has type I along with insulin resistance?

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