I guess the question is then if even when on MDI we mostly stick to fixed quantities of carbs for a given meal time (whether that's due to eating similar things, or similar quantities of things) and therefore reasonably fixed doses, would there be additional stress/anxiety associated in moving across to MDI and doing fixed doses?
The advantage I can see if that correction doses would be easier to administer if needed, and also the insulin is shorter acting so likely to deal with the spikes better. The disadvantage is that there are potentially more variables which could be twiddled (timing, dose quantity, food quantity) even if the goal is to keep those fixed - perhaps knowing that would also generate anxiety? I don't know.
But I also second what has been said above, fixed doses do work fine and I lived on reasonably fixed doses (tho I did eventually move to varying dose on a day-by-day basis when at school/uni based on predicted activity level (sports mainly, but also beer/nights out)) for 30-odd years.
The advantage I can see if that correction doses would be easier to administer if needed, and also the insulin is shorter acting so likely to deal with the spikes better. The disadvantage is that there are potentially more variables which could be twiddled (timing, dose quantity, food quantity) even if the goal is to keep those fixed - perhaps knowing that would also generate anxiety? I don't know.
But I also second what has been said above, fixed doses do work fine and I lived on reasonably fixed doses (tho I did eventually move to varying dose on a day-by-day basis when at school/uni based on predicted activity level (sports mainly, but also beer/nights out)) for 30-odd years.