@mikep, i went from pump to levemir and from levemir to tresiba. but i was on levemir for only a month before switching insulins.
on pump i had a basal rate of around 24 units/24h, evenly spread over the day (my basal rate was flat as a pancake). then i went to levemir, because i switched to MDI pretty quick without talking to my doctor first (read the whole story here ) and ended up taking 12 units of levemir both at 10am and 10pm. I wasnt too happy though with it, sometimes those 12 units worked great, sometimes not, and especially in the morning i had trouble for the levemir to last me until my 10am shot. at night i had the dinner bolus insulin to help me over the last few hours, but in the morning somehow nothing worked. so when i had my next endo appt he suggested trying tresiba, and i tried it. i started with 22 units at bedtime, reduced after a few days to 20 units and am now probably going to reduce even further down to 18.
and while i know you have awesome results on afrezza, i also have noticed less pp spikes on MDI, because i usually inject my bolus in my forearm and the insulin seems to work there like a rocket, whereas with the pump i would have much slower absorption as i was restricted to a few pump sites.
so far so good 
1 Like