Trust but verify:

I test all of the code I produce via LLMs, usually doing fairly tight cycles. I also review the unit test coverage manually, so that I have a decent sense that it really is testing things - the goal is less perfect unit tests and more just quickly catching regressions. If I have a lot of complex workflows that need testing, I'll have it write unit tests and spell out the specific edge cases I'm worried about, or setup cheat codes I can invoke to test those workflows out in the UI/CLI.

Trust comes from using them often - you get a feeling for what a model is good and bad at, and what LLMs in general are good and bad at. Most of them are a bit of a mess when it comes to UI design, for instance, but they can throw together a perfectly serviceable "About This" HTML page. Any long-form text they write (such as that About page) is probably trash, but that's super-easy to edit manually. You can often just edit down what they write: they're actually decent writers, just very verbose and unfocused.

I find it similar to management: you have to learn how each employee works. Unless you're in the Top 1%, you can't rely on every employee giving 110% and always producing perfect PRs. Bugs happen, and even NASA-strictness doesn't bring that down to zero.

And just like management, some models are going to be the wrong employee for you because they think your style guide is stupid and keep writing code how they think it should be written.