My Doc is a very experienced Endo. I wear a CGM so always have plenty of charts to show him, that's how he knows I need to be on mealtime insulin. We just need to damp down those spikes at mealtime. A long lasting insulin might take me too low during the night. And I don't really want to go back to my job, I have a great disability plan and being home 24/7 lets me get plenty of incline trainer time in.