John - congrats on the early retirement! I retire the first of the year and can taste the excitement!
Like you I bike, hike, etc. Played ice hockey for about ten years. Now I’m planning a hockey rink on my property for myself and to teach my grandson.
The pump was a pain in the rear. Tubing and the set always getting in the way. It had and has it’s uses. I plugged back in for a few weeks when I was fine-tuning Afrezza. The set irritates my skin and the sites take forever to heal. It won’t let me use it to deliver bolus doses only. It insists on delivering basal as well. I can’t sleep with that crap hanging off my body so I was using Tresiba (and now Levemir) as basal. During the fine-tune period I kept the pump in a water-proof box so I wouldn’t hear the annoying beeps and took it out for the micro-bolus doses I needed.
Recently I learned how to open the Afrezza cartridges and make smaller doses for minor corrections. I am very sensitive to high blood sugars. Even 150 gives me head fog and makes me crabby. Waiting for “fast-acting” Novolog to work had been killing me. Afrezza works so quickly I’ve been able to keep my sugars well below 150… most of the time. ■■■■ happens. But for the first time in many years… I feel so damn good. I have energy again. I’m not crabby. I nearly cried when I realized why I had been feeling so awful for many years and that the fix was so dog gone difficult to obtain. I was symptomatic of T1D for many years before dx but who would have figured to check an A1c? I had a doctor tell me “you must be very sensitive”. Ah god help me. An extended illness with Lymes disease pushed my pancreas over the edge and… diagnosis.
As far as inhaling insulin. The crap in the air we breathe now is probably much worse. I inhaled a few things in my youth so if there’s damage to my lungs it’s not from Afrezza. I’ve become a bit cynical after the D dx. Most of my adult life I was the champion at gatherings for bringing the best grilled vegetable dish - organic of course. I ate organic and for the last 5 years have grown most of my own organic fruit and vegetables. I’ve been physically active and fit. No one in my entire, very large, extended family has either T2 or T1. And of all the people to become T1D… WTF?
Inhaling Afrezza while driving is much easier to do then taking a Novolg injection… hold that needle still for a minimum of ten seconds so the insulin can slowly dribble under the skin. Bruising while driving.
I still eat relatively low carb, similar to my pre-D dx, so I don’t need to inhale a lot of insulin. I’ve been using the 8 unit cartridges to divide into 4-2 unit cartridges. Afrezza units do not correlate to the similar Novolog units. An 8 unit Afrezza for me equals about 5 units of Novolog and 4 units Afrezza is about 2.5 units Novolog. So the 2 units Afrezza I am making take me down about 50 mg/dl. I’ve got Afrezza dialed in decently now but still carry a Novolog pen just in case. Certain foods will require a correction a few hours after consumption, but I don’t eat those foods often… but I did today.
Anyway, I appreciate your input. We all deal with D, and respond to treatment for D so differently. I am not at all happy to have D, but at least I’ve found something that works better for me than all the other treatments I’ve tried.