Ok, here's my take on your questions:
1. Can you inhale just one time per meal and get good, stable results?
Yes, I normally just inhale one 4-unit dose per meal. I do, however, also use my pump to deliver a protein/fat extended bolus for each meal. My pump rakes care of my basal needs as well. My results , so far, have been very good. I have had a few meals that required a second 4-unit Afrezza dose. In that case, I usually take it about one hour after the first one
2. Timing - how do you time your inhale relative to your first bite of food for best results?
I inhale my Afrezza meal dose right before my first bite. I have experienced a few meals where I went low within 30 minutes after the dose. That generally doesn't happen and I'm not sure what to conclude from those limited expereinces.
3. For those who answer no to #1 - what is your best solution so far? Multiple inhales or mixing novolog/humalog with your afrezza? How are you adjusting your novolog/humalog dose when you also use afrezza?
4. Follow up BG testing - how are you timing these tests?
I use a continuous glucose monitor so I get a BG data point every five minutes.
5. How low have you gotten when aggressively dosing with afrezza?
My lows on Afrezza don't get much lower than 50 mg/dl. I find that the period when I'm even worried about lows has been considerably shortened post-meal. After 60-90 minutes after dosing Afrezza, I'm not worried about lows. With rapid acting analog insulin, I need to stay vigilant for 5-6 hours.
6. How do you feel about it? Is it helping?
Afrezza gets in and gets out in a hurry. As I said above, it has reduced the amount of time I need to be concerned about hypoglycemia. I can even take an Afrezza dose during the night and as long as I'm at 120 mg/dl or above, I am confident that I won't go low. The same is true for corrections when I'm awake. I can assess the performance of any correction and take further action if needed. My attention post-correction is not held hostage with Afrezza like it is with rapid acting analog insulins.
My overall BG control has not markedly improved with Afrezza. That's most probably because my pre-Afrezza control was very good. I do notice that I spend less time in the 120-140 mg/dl range and more time below 120 mg/dl. I has contributed to my quality of life with simplifying my mealtime dosing and requiring less attention post-correction.