Hi folks.
I always seem to be the one who reads posts with questions and says "hopefully someone that knows will chime in" but in this case, I think I can help.
SO, type 1 for the last 20 plus years. I have fought with lows nearly as much as highs over this time. What is worse is that no one in the medical establishment ever mentioned a word of this to me, so I was simply ignorant.
Several years ago, I thought that a Tandem pump with a CGM was the solution, but I was still over/under correcting for carbohydrates. There are so many variables. I was terrified of dying in the night from lows, so I took my drs advice and would "liberalize" my glucose levels. I was definitely not aware of animal based eating at the time, and downed all kinds of garbage. Carbs of course, but processed foods galore, seed oils, vegetables, fruits, coffee (hot bean water) ...the list goes on. The SAD diet, which modern western medicine has little to no problem with, yet they will flip out if you tell them you are eating a carnivore diet.
Once I cleaned up my diet, the insulin pump/CGM combo began REALLY showing its worth. Once you are animal based for a while, and your body gets adjusted, things get easier. For clarity, Im talking about NO carbs, as well as being fat adapted, where you get very hard stools without purposely adding in fats in a minimum of a 1 to 1 ratio.
Once your body re-learns how to operate on fats instead of on glucose, your body will regain its ability to make its own glucose when necessary through gluconeogenesis.
This fixes your trouble with lows, *without* the need for glucose tabs. Trust me, I used to carry em too.
A word of warning from my personal experience, if you eat any sugars or carbohydrates, it will kick you out of ketosis (as mentioned above) and your new found gluconeogenesis abilities will be put on hold. This can be dangerous if you are on insulin, and are not prepared for what comes next.
Example: If you go out for a burger with friends, for instance, and eat the burger with the bun, POOF, goodbye ketosis. I personally would be waking up at about 2am with my sugar level in the basement (sub 50) Ask me how I know. This is where your doctor will come in and say "see, you NEED carbs" but I say let clearer thinking prevail. Without the carbs from the bun, you (I) would have been fine. No highs to deal with, and self correcting lows! Carbs arent the solution, they are the problem.
Happy to be able to offer my two cents
*EDIT* I should also clarify that it does not take me more than 6 to 12 hours to recover back into ketosis, should I have something sugary or carby. Im not advocating carbs and sugars, but I know we are all human, and old habits do die hard.