I saw my endo last week. (Okay, more accurately I saw a doctor doing an endo rotation who was stumped by some of my questions and got my real endo so I saw her too and we were wearing basically the same shoes.)
I poured out some diabetes woes to her, including the new information I was receiving from my Dexcom that bothered. The frustration of pre-bolusing 30 minutes before consuming food and waiting forever for highs to subside.
She explained that the 1-hour-post lunch spike I was seeing is something that’s common with type 1 patients, but without a CGM they often don’t know about it. (My spike is NOT the textbook 2 hours after food so 2 hour post readings don’t really mean much for spikes) She apologetically explained that there aren’t any insulins that can come close to the speed of working-pancreas insulin. But she wanted me to give Apidra a shot (no pun intended!) to see if it helped.
So today, my “Aspeedra” is in my OmniPod and we’ll see how this works.