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<blockquote data-quote="PIPPO_PIPPI" data-source="post: 1943864" data-attributes="member: 322947"><p>Hi.</p><p>Two months ago my doctor prescribed me to change from Novorapid to the new Ultrarapid FIASP, to see if this could bring a positive change in my Type 1 Diabetes.</p><p>I tried, and thanks to FreeStyle Libre plus BlueReader CGM and the fabulous xDrip+ APP I can say I found advantages and some disadvantage, too.</p><p>I'm not sure if it's only me or this happens to other people too (and I'm opening this thread for this), but I noticed a slow but important increase in my CHO/U.I. ratio.</p><p></p><p>When I started FIASP it was 10.0 but now I'm at 20.0 CHO/U.I., and this never happened before, the best value I had in the last 2.5 years was 14.5.</p><p>Moreover using FIASP I have my HbA1c reduced from 6.9% to the actual 6.5% (last 30 days average).</p><p>Someone using FIASP observed similar results?</p><p></p><p>But (there is always a “but”, alas!) FIASP obliged me to compute <u>BOTH</u> CHO quantities <u>AND</u> digestion speed of the various foods, because its shorter time to start working can be a big problem when you use food with very different CHO digestion times.</p><p>E.g.: with Novorapid I always inoculated insulin 10 minutes before starting eating carbohydrates in any type of food, with the only exception of pizza, 20 minutes after starting.</p><p>So, with FIASP I've been obliged to divide in various groups the different types of food I use, based on BOTH CHO number AND their digestion speed, and make my computations for both U.I. number and time to inject.</p><p>It’s been a complicated, long and boring work, and I have still many things to change or to adjust.</p><p></p><p>But I had another big advantage.</p><p>Normally, before FIASP, when I was seeing that glycemic value was rising constantly, e.g. after a meal, I waited just to see if it would have stopped at the 180 mg/dl I have as top limit, and if it didn’t I used to make a couple U.I. to stop it. Sometimes it was OK, sometimes it was not, e.g. the value continued rising quickly, so I did another couple of insulin units, and if it started reducing immediately after, this caused after some time a very low glycemia.</p><p>With FIASP, as I reach 180 I inoculate 0.5 U.I., and look what’s going on.</p><p>If it stops or reduces climbing, I’m OK, if it doesn’t, another 0.5 U.I., and so on.</p><p></p><p>So my opinion:</p><p>FIASP probably is not OK for all, but only for people ready to use a lot, believe me, a lot of time to make all what is needed to use FIASP at its best.</p><p>But probably it could be used by all as a “First Aid Insulin” in case of fast rising glycemia.</p><p></p><p>I would like to know other’s people opinion on the matter.</p><p>Beg your pardon for the very long text, and I apologize for my horrible English. </p><p></p><p>Pippo <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="PIPPO_PIPPI, post: 1943864, member: 322947"] Hi. Two months ago my doctor prescribed me to change from Novorapid to the new Ultrarapid FIASP, to see if this could bring a positive change in my Type 1 Diabetes. I tried, and thanks to FreeStyle Libre plus BlueReader CGM and the fabulous xDrip+ APP I can say I found advantages and some disadvantage, too. I'm not sure if it's only me or this happens to other people too (and I'm opening this thread for this), but I noticed a slow but important increase in my CHO/U.I. ratio. When I started FIASP it was 10.0 but now I'm at 20.0 CHO/U.I., and this never happened before, the best value I had in the last 2.5 years was 14.5. Moreover using FIASP I have my HbA1c reduced from 6.9% to the actual 6.5% (last 30 days average). Someone using FIASP observed similar results? But (there is always a “but”, alas!) FIASP obliged me to compute [U]BOTH[/U] CHO quantities [U]AND[/U] digestion speed of the various foods, because its shorter time to start working can be a big problem when you use food with very different CHO digestion times. E.g.: with Novorapid I always inoculated insulin 10 minutes before starting eating carbohydrates in any type of food, with the only exception of pizza, 20 minutes after starting. So, with FIASP I've been obliged to divide in various groups the different types of food I use, based on BOTH CHO number AND their digestion speed, and make my computations for both U.I. number and time to inject. It’s been a complicated, long and boring work, and I have still many things to change or to adjust. But I had another big advantage. Normally, before FIASP, when I was seeing that glycemic value was rising constantly, e.g. after a meal, I waited just to see if it would have stopped at the 180 mg/dl I have as top limit, and if it didn’t I used to make a couple U.I. to stop it. Sometimes it was OK, sometimes it was not, e.g. the value continued rising quickly, so I did another couple of insulin units, and if it started reducing immediately after, this caused after some time a very low glycemia. With FIASP, as I reach 180 I inoculate 0.5 U.I., and look what’s going on. If it stops or reduces climbing, I’m OK, if it doesn’t, another 0.5 U.I., and so on. So my opinion: FIASP probably is not OK for all, but only for people ready to use a lot, believe me, a lot of time to make all what is needed to use FIASP at its best. But probably it could be used by all as a “First Aid Insulin” in case of fast rising glycemia. I would like to know other’s people opinion on the matter. Beg your pardon for the very long text, and I apologize for my horrible English. Pippo :) [/QUOTE]
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