WOW
Thanks Terry for sharing with everyone on your new endeavor to control the dreaded D.
I am totally impressed with your plan with diet and meds going forward. We all will pray that you will improve upon control with Afrezza. As an early user you all have lots of folks watching.. And your results will help ev1 make their decisions easier..Got to love it.
Best of luck to you, hats off to you and all early users...
Thanks, Susan and Dave.
eddy - Thank you for your thoughts. Things are going well at this early stage. I've had two very good post meal periods and a great overnight flatline in the low 80s. I'm traveling today and will post more results when I have time!
Here's my 24-hour line for Thursday March 12, 2015:
For dinner last night I ate 2 ounces of ham, 2 ounces of swiss cheese, and scrambled eggs (2) made with whole cream. That’s 8 grams of carbs, 33 grams of protein and 62 grams of fat, including the butter in the fry pan.
I delivered a pump extended bolus of 3.2 grams over three hours. I used a pre-bolus time of 20 minutes. I inhaled 4 units of Afrezza at mealtime, 6:30 p.m.
I was curious how the 4 units of Afrezza would handle only 8 grams of carbs with a 1:7 insulin to carb ratio. I would have dosed 1.2 units of Apidra.
My CGM line did dip post meal into the upper 60s but did not go below my low threshold of 65. The lowest point was reached about 1:15 post-meal and then drifted up into a nice sub-100 steady line. My overnight line hovered in the low 80s.
So, Afrezza passed my first challenge to its imprecise dosing range instructions. There would have been a danger of going low in this situation if I went out for immediate post-meal exercise.
I’m encouraged by my first two meals and first day on Afrezza. Time will tell!
The green stripe on the above graphic ranges from 65-140 mg/dl.
I’ll update after I eat my first meal on the late side today, around 1:00 p.m. Pacific Time.
Note: For those readers unfamiliar with my pre-Afrezza lines, this line today is not significantly different than what I am able to do with more complicated pump techniques. I don’t want to mislead!
I'm curious about whether you are noticing any change in your hunger level in the hours post-meal. I realize you are eating so low carb that hunger shouldn't be an issue, but I have found very different hunger levels with different approaches that resulted in similar blood sugars, so this is something I'm always curious about.
This is one of the potential benefits I'm really excited about. T2 with IC around 1:4, I suffer from the "false hunger" syndrome any time I eat (and bolus for) more than 50 carbs or so. Also, I TAG like Terry (exceptional control, but...), so I often have the hunger problem even with low carb meals that are very high in protein, because of the 4-hour extended bolus I have going.
Now, something I learned from Terry in this thread: The concept of throttling extended bolus insulin by rate, rather than duration. I'm going to give this a try, limiting the rate, and see what effect that has on the phony hunger issue.
Seeing my endo @ 3:40 today to get the ball rolling on Afrezza...!
awesome stuff Terry.
Jenny - With my low carb eating, my hunger level is minimal. It doesn't take much willpower to put off eating. So, no my hunger level is unaffected by my Afrezza start.
Good luck, Dave. I'm sure you'll enjoy taking Afrezza out for a spin!
I went to bed early last night in anticipation of getting up at 3:30 a.m. for an early flight to Las Vegas. Didn't get to sleep right away but did get some rest. Checked my CGM and I was flatlining in the low 80s, confirmed with a fingerstick.
Almost from the moment I got up my BG started rising. I was distracted with last minute packing/remembering and calling for a cab. Once I got past security in the airport my Dex alarmed to tell me I was crossing 150 and going higher. I was not a quick climb and never showed an angle or single up arrow; the trend arrow was always sideway.
It topped out around 200 once I got into my airplane seat. I decided to do a high BG correction with Afrezza. so I did a 4 unit Afrezza correction. My BG went sideways for the next hour. It must have had some upward momentum. So I took another 4 unit Afrezza correction an hour later and that one produced results. My BG started coming down at the rate of 3-5 mg/dl/five minues. Concerned about a possible insulin set flow interruption, I added a one hour/1 unit correction extended bolus.
All that had the desired effect. I came in for soft landing and at 11:00 a.m. I'm cruising sideways at 75.
That's it for now. Time to meet some of my online friends in real life!
I plan to repost the pug video as my reaction after I get a toot :-)
Wish I could be there with you all, but alas financials aren't cooperating.
Unexpectedly looking for a new job. Arrrrgggghhhh!
Sorry about the the gap in comments about my Afrezza experience. I'm attending a weekend diabetes Unconference and am using my energy and focus talking and relating to my "tribe" in the real world. Having a great time and learning a lot.
My Afrezza experience has been a bit hit and miss, a learning experience that I expected. I'll be adding to this thread with more detail including CGM lines, food detail, and Afrezza doses.
I woke up this morning at 160 and took a 4 unit correction dose of Afrezza. Ninety minutes later I'm at 101 and moving sideways.
More details soon!
Terry, Congrats on Beginning the use of Afrezza. I plan to go a long with my wife to her next appointment, which is next week to discuss "A" being used at meal time. Good Luck to you going forward, Please keep us updated on your progress.
Lucky you being at the Unconference! I hope you post about it here when you get back.
Thank-you, SDC. Will be updating soon as I clear my "travel-fog."
Jenny - I had a wonderfully resonant time talking, listening, and just being with my kind. As I collect my thoughts and decompress, I'll do my best to distill a great two days!
Fantastic to cross paths in person in Vegas! My only regret is that I didn't go through with the plan to try to kidnap your wonderful dog, about which I (foolishly) warned you. I had a midday flight today, so after sleeping in a bit, packing and checking out, it didn't make sense to drop by the sessions today.
I enjoyed meeting you as well! I'm looking forward to the next time our paths cross.