It's working good for me in conjunction with Toujeo. I take 100 mg Invokana at night and then in the morning 50 units of Toujeo. I can see it has made a difference in my diabetes but my last A-1 C only dropped by one point. I'm more type one now than when I started as a type to doesn't matter to me whether I need a hunter percent protein my sugars spike every time and I wish I could find a doctor to make a difference but unfortunately I have not. Rick