I started out on the Prandin .5 too, but even if I took it at least 30 mins. before meals, I would still have a high around 250 in the morning, followed by a low, and similar problems in the afternoon. I recently switched to insulin and I have felt much better, and had more energy since I switched.
I take 2 different kinds- Humalog Rapid acting and Humalog 25/75- I take them both in the morning, and the rapid helps me get over the morning high bloodsugar hump without the big crash afterwards, and the long acting 75/25 works f(or a typical day) for the rest of the day. If I need a little more (say, for a big dessert <img src="i/expressions/face-icon-small-smile.gif" border="0"> ), I can take a little extra of the rapid, but only doing 2 shots first thing in the morning has been nice <img src="i/expressions/face-icon-small-smile.gif" border="0"> !
I would ask your clinic who the majority of their cf patients use (so the dr. is familiar with CFRD), or who they would recommend (maybe get a <i>couple</i> of names) and start there <img src="i/expressions/face-icon-small-wink.gif" border="0"> . Clinic recently added a new doctor to the list of endos who see us, and that is who I ended up with, and I really like him. Good luck!
I take 2 different kinds- Humalog Rapid acting and Humalog 25/75- I take them both in the morning, and the rapid helps me get over the morning high bloodsugar hump without the big crash afterwards, and the long acting 75/25 works f(or a typical day) for the rest of the day. If I need a little more (say, for a big dessert <img src="i/expressions/face-icon-small-smile.gif" border="0"> ), I can take a little extra of the rapid, but only doing 2 shots first thing in the morning has been nice <img src="i/expressions/face-icon-small-smile.gif" border="0"> !
I would ask your clinic who the majority of their cf patients use (so the dr. is familiar with CFRD), or who they would recommend (maybe get a <i>couple</i> of names) and start there <img src="i/expressions/face-icon-small-wink.gif" border="0"> . Clinic recently added a new doctor to the list of endos who see us, and that is who I ended up with, and I really like him. Good luck!