I normally build things bottom up so that I understand all the pieces intimately and when I get to the next level of abstraction up, I know exactly how to put them together to achieve what I want.
In my (admittedly limited) use of LLMs so far, I've found that they do a great job of writing code, but that code is often off in subtle ways. But if it's not something I'm already intimately familiar with, I basically need to rebuild the code from the ground up to get to the point where I understand it well enough so that I can see all those flaws.
At least with humans I have some basic level of trust, so that even if I don't understand the code at that level, I can scan it and see that it's reasonable. But every piece of LLM generated code I've seen to date hasn't been trustworthy once I put in the effort to really understand it.