Switching from a pump to Afreeza and long acting insulin

I am thinking of switching from a pump to a daily shot of a long acting insulin for my basal and using Afreeza for my meal bolus. I generally bolus for about 2.5 units of insulin for each meal which according the estimates I’ve seen would be 4 units of Afreeza. Is anyone else using Afreeza for their bolus insulin? Anyone with any experience with Afreeza you’d like to share? Thanks.

I used for awhile when they had discounted price for those with insurance that didn’t cover it.

I used for meals, mostly 4 unit was similar to 2-2.5 units novolog. But for meals with higher fat, I would also do extended bolus from pump. So you may want to still have injected insulin on hand to cover some meals, in addition to afrezza or plan additional Afrezza dose after meal.

Currently I do most bolus from Tandem X2 pump, and Afrezza only for correcting high BGs.

I think @sam19 and @Terry4 are still using.

I’ve been using Afrezza for five years now. I primarily use it for corrections most every day. I use the 4-unit cartridges and I find it equivalent to 2 units of Apidra.

I recently found out that my Medicare Part D Rx plan no longer covers Afrezza but I did find an option to buy it for $99 for a box of 90 doses. It still requires a prescription but no insurance is involved. I’ve not done this yet but will when my supply gets low. Using Afrezza improves my glucose management and I would not want to live without it.

Thanks for link. I used that option a couple years ago, thought it ended. I stocked up and almost out of my supply so will check it out again.

@MM1 and @Terry4 Thanks for the feedback. I was/am hoping to simplify my life by eliminating the pump but maybe its too much to ask if you’re T1. I was wondering about those meals that go a bit over what the 4 unit dose would cover, and even those that are smaller. Go for a long walk maybe.

For meals that would normally need more than what one 4 unit dose would cover, you would either take a second dose at the same time as the first (Afrezza is out of your system so quickly that lows are less likely) or take another dose in an hour to an hour and a half (this tactic is especially good for meals with higher protein or fat).

I was on Afrezza and Tresiba for 2 1/2 years. It worked fantastically for the first six months but after an extended illness all of my insulins stopped being very effective. I went onto a pump (T-slim with Control-IQ) 2 months ago to take advantage of the closed loop technology. I’ve taken a few doses of Afrezza since then for unexpected highs but mostly give the pump time to bring my BG’s down.

I used afrezza in 2016-2017 with a Dexcom g4 which helped a lot. I had a pump, but never liked it, and even tried exubera for about a year. It was nice to take a break from shots, but you’ll still get strange people staring and asking questions. I would overestimate how much you’ll think you’ll use…like terry4 said, 4 units of afrezza will feel like 2 or 2.5 units of subcutaneous insulin…I had trouble trying to get 12u, 8u, and 4u, and finally settled on 8u and 4u combo boxes… I also ended up with a lot of expired boxes, and insurance excuses about how the only boxes they have access to expire next month, etc. If its not too expensive for you, it’ll be nice for about a year…after a year of consistent afrezza only use, you’ll probably develop a cough like I did and most of the users in the trials, but it does work very fast and usually is done in around an hour… which is why the Cgm is crucial.

I use afrezza, primarily for corrections, and love it (No cough here). Like others said, it works quickly and is out quickly, so I tend not to use it alone for meal bolus. :slight_smile:

I have talked with many long time pumpers who made this switch. Just tired of wearing the pump all day everyday. And most had good success with this treatment plan.

I have been pumping since 1990 and have never taken a break. But I did add Afreeza to the mix to help with my highs. I found a 4 unit cartridge was more than enough (sometimes too much). But since using the Tandem Control IQ, I haven’t had highs high enough to use Afreeza.

But as with everything dealing with diabetes, try it out and see how it goes. Worse thing you end up with extra supplies you won’t use. Happens a lot, doesn’t it?! Give it a try and let us know. It’s always great to hear peoples successes and sometimes failures to a new treatment plan. Always learning and growing.

I also wanted to add that I used afrezza exclusively for the year, as my insurance company refused to fill insulin cartridges and afrezza, it was either or…which probably expedited my cough, but it was nice to abstain from cargo pants for a year, and like most others, if you use it as an extra tool, it is nice to have…I miss treating highs while I’m driving

I take Afrezza almost exclusively with my meals. I usually get one box per 4unit and 8unit each month. 4 unit only works for very low carb meals AND works better if I include movement/exercise. 8 unit can handle most any meal except like someone else mentioned here, high fat will cause problems - but it’s easy to watch my blood sugar and catch it later when it starts to go up again. I take Tresiba at night as my long acting.