I've been MDI (Lantus and Humalog) for 3 years, daily dose about 20 units. Well controlled (A1C 5.7), GAD negative, low c-pep, thin and moderately active. My endo has asked me to experiment with…Continue
I was fortunate that, in spite of being 50, my primary doc diagnosed me as T1. Based on little more than my crazy high A1C, he referred me to an endocrinologist. I underwent the usual tests and was…Continue
"Hey everyone... Mannkind has a really really good video on their site explaining insulin response to food, and how the timing of endogenous, and various injected insulin action curves differ.
This video is not a direct sales pitch for Affreza, being…"
"I've read that too Terry, that some docs think a little insulin in the early days may extend the honeymoon. I also know that some docs think meds like prandin may exhaust the beta cells sooner, not good. I do feel lucky to still have my own…"
"While I'm very interested in Afrezza, I agree with Trudy. Injected insulin can be highly effective with your post-prandial spikes. You wouldn't have to use much so the risk of hypos is less. You can use it now and try Afrezza when it comes…"
"I hear you Trudy. I see my endo again this fall and plan to see if he'll try either afrezza or injections, I'm open to either. It seems he's just waiting for my BG to get worse before he'll let me try insulin. So far he keeps…"
"Hi Lilli. If it were me, I wouldn't wait for Afreeza--there isn't enough known about it right now. I'd try some fast-acting insulin, very conservatively at first, and see how that works. well, that's just me!"
"Thanks Dave, I'm kind of a type weirdo right now. My hyperglycemia is not chronic, strictly post meal. My endo thinks early onset T1 (honeymooning?) but we haven't gone to insulin yet despite high post prandials because my a1c is still…"
I don't think you'll be able to leave your pump behind unless you have some other way to handle basal. I'm not all that familiar with pumping as a T2 but don't you need that little trickle...
If you can get away with only…"
"Lilli, on a tangent, I've had great success with tuning pre-bolus timing and combination boluses to get the postprandial down. I used to zoom over 200 routinely after eating, even bolusing (before, "improperly").
Have you put some…"
Don't remember where I read saw this (or even if I did :-)) but it's itching in the back of my memory so...
I think the initial target market for this is T2s. Chiefly because precision dosing with high resolution isn't…"
"Very interesting. Of course this may work for a baked potato but for those of us who eat meals that digest slowly - high fat, high fiber, mostly protein, etc. - and use dual waves or tiered shots the very rapid action is likely to be very…"
"When I emailed the web address to myself it doesn't ask you to register to get the second half for some reason, but here's the section explaining dosing:
"Much has been made of the fact that the data published in the label suggests…"
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