and I'm here to share my experience with it as, from what I've been told, I'm one of the early users of it. I will do my best to document as much data as possible - good and bad. There will be trial and error and lots of experiments. Happy to answer any questions as well. Here's some background information on me:
-T1 for 20 years. Age 39.
-Currently use Omnipod, Dexcom G4 and OneTouch VerioSync and now, Afrezza.
-Disclaimer - I have no financial interest in Mannkind or Sanofi.
-I'm just a normal PWD who is always looking for the latest and greatest in treating my diabetes.
-Insurance does cover Afrezza for me.
-Normal routine is to bolus right when I begin to eat. Normally I would see a significant spike 30-45 minutes later.
-Subcutaneous Insulin ratios are : I/C = 1/12, Correction 1=40.
Here is my post from another thread outlining my first dose:
First bolus last night with Afrezza and it went very well. No post meal spike at all. I inhaled the Afrezza right as I was taking my first bite of my sandwich. I tried to keep everything as simple as possible for the first dose. I/C ratio on pump is 1/12 and I ate approximately 90 grams of carbs so I inhaled 2 4u cartridges. Blood sugar was 123 pre-meal. Was 91 an hour after I ate (with no spike). At the 2 hour mark I had creeped up to 144, BUT I made a carb mis-calculation which I attribute to causing the rise.
Of note: On my Omnipod I always bolus right as I begin to eat so the time of dose is consistent. Normally, I'd see a pretty big post meal spike in the 30-45 minute range on SubQ insulin. I did not see that with the Afrezza dose, so I can confidently say it works quickly.
I plan to experiment a lot with the Afrezza. One thing I will do in the next day or two is eat the exact same meal both days and one day use Afrezza and the other day use SubQ insulin via my Omnipod and chart the differences using my CGM.
More to come as I took my second dose for my lunch bolus . . .