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Message: <blockquote data-quote="CheeseSeaker" data-source="post: 2643122" data-attributes="member: 531814">Ok - MDI means 'multiple daily injections' - if you're pumping it opens up different strategies.You can pre-bolus for your meal to reduce the 'post prandial high' (high after eating) which means you'd start from a better place (remember Novorapid doesn't start working till at least 1 hour after it goes in, generally not peaking till 2 hrs - so if you can get it in early it can cope with the food hitting your system at the same time).For beer its more fun as the carbs hit very fast (I love real ale - so have experience on this but its never a straight forward ride) so get the insulin in early, and enjoy your pint - expect a high, and then watch for a low following as the insulin takes the fast arbs out (worth having a dextrosol tab or something with you just in case).DIY looping - where you use the readings from your Libre (or whatever) to talk to a program on your phone that works like an artificial pancreas. So you tell it what you've eaten, and it monitors your BG and puts more insulin in as and when you need it by controlling your pump. If you drop low, it slows/stops insulin delivery.On mine I set a temp-target (before eating) to drop my BG before the food hits, but keep to a safe level, and it adjusts my Basal to do that an hour or so before food.Was on Novorapid for 20+ years, the benefits of 'Ultrafast' insulins is much quicker insulin action (15-20 minutes, peak at 40-60) so the post prandial high is much, much less.Fiasp (for example) is Novorapid with 'stuff in it' to make it work faster (added nicotinamide/B3).You can always ask to change, or discuss it with your Diabetes Nurse to understand further - makes mealtimes and pumping much easier as you're not 2 hours behind your food.</blockquote>

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