They don’t let any facts like that get in the way!
Facts are confusing, Terry.
Haven’t you been paying attention to the presidential election? 
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This thread is approaching the limit of times the word “afrezza” can be used before it has to be shut down.
Yes, with equal parts worry and mirth!
Oh noes! You used it again! How many do we have left in this thread?
I’ve deliberately avoided it in this response so as not to trip the counter
I’m going to start deliberately misspelling it. That might buy us some time.
Afreeza seem to be a common misspelling. Do you think that would throw off the clever financiers?
I’ve heard it pronounced that way too. Even my doc calls it aye-Frezza.
Hopefully that didn’t ding the counter
You’ve just started an experiment - we’ll see how long it takes for an “expert” to throw some twitter wisdom on you.
On a somewhat related note: had an appointment with my doctor today and asked her about the A-thing. She did not seem to know much about it. She looked it up and, unfortunately, turns out it’s not in the formulary (Kaiser HMO). I said I’d only need a prescription, and that I’d pay out of pocket to give it a try, but she said she could not do that either. So, looks like my only option would be to pay out of pocket to setup an appointment with a completely different doctor who would be willing to write a prescription. So stupid 
Any other ideas?
Contact freedom@mannkindcorp.com and explain the challenge/ situation .
thx
The counter has been reset. Relax.
I haven’t even made an unserious attempt. I’m usually < 120 at 2 hours with no subsequent bounce. It ain’t broke so I’m not fixing it. At least for now.
I don’t have anything to add to Sam’s suggestion. I’d like to hear your comments on Afrezza if you get a chance to try some. I do have an idea. Make an appointment with a doctor that has samples to let you try it. That will save you getting an Rx and then filling and paying for it. I think my doctor gave me one box of 90 doses of 4-unit cartridges. I think there is a “starter pack” that combines 8’s and 4’s for a total of 90 doses.
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Wow, that’s a lot for a sample starter pack! I envision I’d use them for occasional carb splurges and any accidental highs, so the starter pack could last some time for me. We’ll definitely go through that email and ask for assistance.
You don’t get a rise 3-4hr after a heavy protein and/or fat meal? I wouldn’t call it a spike, it’s more like a hill. This is why I was pining for a double-impulse type complex bolus over in the Omnipod features thread.
Sometimes I have what seems a constant low-level of glucose from digestion when eating protein and fat, so which the extended bolus is perfect for. This can last 4 hours, almost into the next meal depending on physical activity.
So, if you don’t have these sorts of glucose loads, count me jealous 
No, I don’t. For protein-heavy meals, I use R, which has a much slower action and a much longer peak. Your results may vary.
I also get what I think of as odd ball rises at 4-5 hours after dinner. Simply couldn’t figure out why. I finally just decided it doesn’t matter why, #### happens!! I tried lots of ways to resolve it til I finally just excepted it. Initially I would just take bolus corrections and that worked but it could be a bit dangerous since I’d take the corrections ahead of time knowing I’d typically have a rise. Now I use an increase in basal at 3x for 3 hours. This works pretty well but I still need to keep an eye on it during this time.
And if you have a protein and carb rich meal? What do you do to handle the early carb spike?
Thanksgiving, for example. Turkey, stuffing, and mashed potatoes.
When I eat a meal like that, I’ve got to handle a near term, pretty intense spike, and then the longer, 4 hour or so digestion of the protein. Hence the mixing question. On a pump, this is easy to deal with with a combination bolus.
Well, I almost never do. But that wasn’t really your question. On those (rare) occasions, I will use a split dose of fast acting. And Thanksgiving is a special case; I consider it a holiday in both senses (legal and medical). So I treat it as well as possible and then waste no time worrying about it.