MDI with Novolog/humalog + NPH?

I would guess for her it was due to the dry powder hitting her throat. It can cause irritation especially if you’re not a well hydrated person, most of us are not, that can take a while to clear up. Hydration is key with Afrezza as it is a dry powder, drinking water before and after a dose seems to be important to suppressing the cough. Of course as you said we are all different and our bodies respond differently.

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I’m more concerned about the long time for digesting here… it could be just a combination of what’s being eaten, fatty foods or protein slowing the digestion or something else, like a slow digestion. We moved me (for the slow digestion) to Apeidra and it made all the difference, when I start to spike I inject and works fast for me, 15 min and lasts about four hours…so maybe that would do well, depending upon the problem of course…