Afrezza inhaled insulin

I recently started using Afrezza and am loving it. Don’t have any questions, now, but had a lot of them before starting and my doctors didn’t know enough. So, just wanted to post here in case anyone else is considering it and has any questions. Feel free to ping me.

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How are you using it? I.e. what regime were you on and how did you fit Afrezza in?

I’d need prior auth to get it and my endo is fine with my regime at present so that would be a hard sell, however my wife (T2 on metformin) would probably benefit a lot with just Afrezza (and no metformin…)

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I can see how it’d be very efficient for type 2!!

I was on omnipod with fiasp. For the first week(2pods), I stayed on omnipod for basal and used afrezza for big meals. It was also nice to have the pod insulin for smaller meals and fatty/protein meals that spike a couple hours later.

After the 2nd pod I switched to Tresiba for basal and just afrezza for meals, for fatty meals, I just take a smaller 2nd puff abt 1.5 hours later or when I start seeing a rise.Because it’s such fast action times, if I take a puff when I’m 120 diagonal up, if flatten out at 140 n come back to 120 an hr later. it’s also out of my body within that time, n I don’t go low 6 hours later.

Both regimens have their benefits and are working well, so I plan on switching as needed.

I was able to get pretty good control with my previous regime - a1c was 5.9, but it was a lot of hard work. Biggest was that my sites would stop absorbing (lipohepertrophy) arnd 48 hrs and I’d end up needing a lot more or rage blousing. I brought this up to my endo a few times and they turned me down because they knew nothing about it. They finally agreed in December and started taking training, etc. But since they’re so new to it, I signed up directly on get afrezza website for an online consult with a physician and they were able to process the prior authorization and ship everything within a week.

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