Since you are on a basal-bolus insulin regimen (Lantus and NovoRapid), your body requires insulin to manage blood sugar. If you have Type 1 diabetes, your primary alternative to multiple daily injections is an insulin pump, which automates insulin delivery, or inhaled rapid-acting insulin. If you have Type 2 diabetes, non-insulin injectables (like GLP-1 agonists) or oral medications (like SGLT2 inhibitors) might be used to reduce your insulin dependency. Lifestyle modifications like a low-carb diet and exercise also play a vital role. Never alter your insulin regimen without consulting your endocrinologist, as stopping insulin can be life-threatening.

As your doctor, I strongly advise against self-medicating. Your symptoms of leg weakness and fragile skin can be serious complications of diabetes, such as diabetic neuropathy, poor circulation, or nutritional deficiencies, and require a proper medical evaluation. Please do not start any supplements without consulting your endocrinologist, as they can affect your kidney function or interact with your insulin. Your doctor may check your Vitamin B12, Vitamin D, and electrolyte levels, and might prescribe targeted therapies like Alpha-Lipoic Acid if neuropathy is confirmed. For now, monitor your blood sugar closely, keep your skin well-moisturized, avoid injury, and schedule an appointment with your doctor promptly.

Given your high HbA1c of 11.2% and history of urine ketones, you likely have insulin-dependent diabetes. Your current Novorapid insulin is vital to keep your blood sugars stable and prevent a life-threatening condition called Diabetic Ketoacidosis (DKA). There is no scientific evidence that homoeopathic medicines can replace insulin or manage your condition safely. Please do not stop, reduce, or replace your prescribed insulin with homoeopathic remedies, as this poses severe risks to your life. Always consult your endocrinologist before making any changes to your treatment plan.

To manage Type 1 diabetes effectively and prevent complications, you should undergo these routine health checks: HbA1c Test: Every 3 to 6 months to monitor average blood sugar levels. Annual Eye Exam: Dilated retinal screening to check for diabetic retinopathy. Kidney Function: Annual urine microalbumin and blood creatinine tests. Foot Exam: Annual professional check for nerve damage (neuropathy) and blood flow. Cardiovascular Health: Yearly blood pressure check and lipid (cholesterol) panel. Thyroid Screening: Periodic blood tests, as other autoimmune conditions can co-occur. Regular consultations with your endocrinologist are essential to safely manage your NovoRapid insulin regimen.