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<blockquote data-quote="scotteric" data-source="post: 1776155" data-attributes="member: 453103"><p>Have you tried Fiasp? I don't know why the standard MDI regime is just a rapid-acting insulin and basal. I come from a pumping mindset, where I was taught to use extended boluses for protein and slow-digesting foods, which includes a lot more than just pizza and pasta. The extended bolus simulates the profile of actrapid, so it makes perfect sense to use both a rapid-acting insulin and a slower-acting regular insulin on MDI. When I first tried going off the pump I couldn't stand it because if I ate anything high in protein I'd spike a few hours later or wake up high. You can't just take another bolus of rapid to solve this if you eat a few hours before going to sleep, and I don't think that's as good of a solution since blood sugar is already rising when you take another bolus. MDI seems incomplete without using a rapid-acting insulin, regular/actrapid and a basal insulin.</p></blockquote><p></p>
[QUOTE="scotteric, post: 1776155, member: 453103"] Have you tried Fiasp? I don't know why the standard MDI regime is just a rapid-acting insulin and basal. I come from a pumping mindset, where I was taught to use extended boluses for protein and slow-digesting foods, which includes a lot more than just pizza and pasta. The extended bolus simulates the profile of actrapid, so it makes perfect sense to use both a rapid-acting insulin and a slower-acting regular insulin on MDI. When I first tried going off the pump I couldn't stand it because if I ate anything high in protein I'd spike a few hours later or wake up high. You can't just take another bolus of rapid to solve this if you eat a few hours before going to sleep, and I don't think that's as good of a solution since blood sugar is already rising when you take another bolus. MDI seems incomplete without using a rapid-acting insulin, regular/actrapid and a basal insulin. [/QUOTE]
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