The hot topic threads of the past couple of days have made me think a lot about our approach. As I've already said, we used almond flour/coconut flour, etc. already pre-diabetes due to multiple allergies. We have found these to be very BG-friendly, and my daughter has found that when she eats fairly low-glycemic, she feels much better. Now we're experimenting with extended boluses which we'd never used and didn't think would help because her boluses were bringing her down to target at the 4 hour mark. While we do eat low-glycemic most of the time, I don't limit carbs. Last night she had 45 g. of chicken with marinara sauce, baked potato, green beans, and an apple for supper and her top spike was a 129. Lots of good nutrients and a spike that isn't much above what a non-D's post-prandial is. I'd call that amazing success for that meal. (I wish they all were like that!) Her average carb intake for the day is around 120. Is that low, medium, or high carb? I realized I don't even have a frame of reference of what is typical. I know she eats a lot and always has, but she has an extremely high metabolism. I'm so thankful for all I've learned here as far as strategies to manage better. I'd love to learn more about the extended bolus if anyone wants to share.