| My take on the whole thing:
The mixed insulins (whether you mix 'em yourself or get the pre-mixed stuff) are good if you want your food / exercise to be the primary variable you use to achieve good control. You take X units, and then you know what you can eat, and how active you have to be to keep your bg good. It is a good regime for people with very routine lives, who do and eat basically the same stuff all the time.
The MDI or pump route allows people to live the way they want to live and eat the way they want to eat, and adjust the insulin to keep the blood sugar in control. This is the way most of us lean. And it also allows really precise corrections for the perfectionists among us. On a mixed insulin there really isn't too much you can do to fix a mildly high number, other than wait it out. With a pump or MDI, you can make very minuscule corrections. It takes a bit longer to get a handle on, but once you figure out your basel rates and correction / food ratios, you are afforded a level of precision and flexibility that a 2 shot a day regime simply doesn't offer.
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That would be a good thing for them to cut on my tombstone: Wherever she went, including here, it was against her better judgment.
- Dorothy Parker
T1 18 years
26 years old
Minimed Paradigm 522... yay!
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