I've been using aphidra for a few months now after being forced to switch to it from Humalog (Humalog is not currently available in Philippines). I've decided I don't like Aphidra. It's action doesn't feel as neat and defined as I experienced with Humalog. I would go back to Humalog today, if I could get it.
So my only other choice for fast acting would be Novalog (insulin aspart), it seems, so I'm going to try that when I have to buy new fast acting in a couple of days.
All along, I've been using Humalin-N as my basal. However, after seeing my daughter's endo a few weeks ago, she asked why on earth I was still on Humalin-N instead of a newer insulin. I replied, 'because it works'. But then got to thinking, does it really work? Because although humalin-N seems to cover me well overnight and into fasting in the morning, when I take the morning dose I will invariably go low by lunch time.
My current solution is to skip the morning dose of Humalin-N and skip breakfast. I will take my first meal either as lunch or dinner depending on my works schedule / how I feel, and just cover it with fast acting, as required (I am playing around with the concept of intermittent fasting)... if I don't eat my blood sugar is typically quite good (except overnight into fasting, which I definitely need insulin for).
So what's a good combo to go with my Novalog trial? I read that Lantus has higher igf-1 receptor affinity and has been shown to cause higher levels of antibody production than human insulin, so this would leave levermir.
What combos of insulin are most people on?