Yeagen, I should have added my insulins which are Tresiba, Novolog, and Afrezza. I take one shot of Tresiba and I probably average 3-5 shots of Novolog. I only use Afrezza when I am having a bad day and am having problems with control.
Marilyn
I would use afrezaa because I hear so many people happy with it. Now that I have these lung nodules, I wouldnāt dare till I can figure whatās going on.
I never smoked, but I did a2 year clinical trial for exubera inhaled insulin. 20 years ago. I canāt say itās related or not, but it gives me pause.
I can say for sure I didnāt have any nodules when I was screened prior to the study. But I was also youngish.
We wonāt know the effects of afrezza for a few more years.
Again tho Iām doubting the inhaled insulin caused this.
Hey Vegan
, I have a very similar story I was on a pump for 20+ years my body stopped absorbing insulin through the pump. Endo suggested MDI. I thought I would take a vacation itās been four years and I have no desire to go back on a pump
Do you have a smart pen?
I use the InPen and it tells me how much insulin is on board in addition to G7!
I do take a lot of micro boluses throughout the day to chase highs for whatever reason they occur.
I also am 100% plant-based no oil but lots of nuts and seeds, avocado and olives
Endo says I probably couldnāt do much better on a pump so follow your heart whatever feels good. We are so blessed to have options at this point.!
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I go to my endo tomorrow and plan to ask about the smart pen. Thank you for your input. It is nice to know that Iām not the only one who has made this move. I am curious to see what the official A1C says even though I have only been doing this since July 29 and it is a 90 day test.
I would be hesitant to use it too.
Iām going to ask my endo about Tresiba since from what you and others have said it lasts longer than Lantus. Currently I am splitting the dose for Lantus. They are both on the same tier according to my insurance.
I was also splitting my dose of Lantus before switching to Tresiba. I like just taking one Tresiba shot in the morning. I realize that some people split their Tresiba injection, but one shot works fine for me.
Oh my goodness! It sounds like me. I am on the 780 and use the mio advance infusionset. I will insert the site and watch my sensor especially after meals because if the site screws up thats when it will show. It will be okay, I think. So the next day I will eat the exact same thing and I sometimes watch it climb 1mmol at a time. I will do a correction and give it the benefit of the doubt and test. It will sometimes stay the same or it rises higher then I know. I take the site out and blood comes gushing out. I have tried the angled sets and the needle sets. So far nothing has worked consistently in the recent months. It never rises that quickly as I donāt eat anything that has a high glycemic level. I stick with low gi foods or I try to use some protein to slow down the absorption. I always confirm the bloodsugar with a fingerstick as I use the guardian3s and they can be off. I am also thinking about a pump vacation but it scares the crap out of me. I never did well on injections as I couldnāt get my A1c below 8mmol, but that was 15 years ago. Medtronic has an Inpen that looks interesting but I dont think it is in Canada yet. It keeps track of how much insulin is in your body after injecting. You would need a longlasting insulin injection in the morning. Can you keep me informed at how itās going for you? Maybe things will get better.
I have been on this pump vacation now for over a month and am still loving going untethered. Swimming, getting dressed, even taking a shower is sooooooo much easier. I am not worried about the pump site tunneling, absorbing, or not delivering leading to DKA which I have experienced 2 times. Not fun. I tend to throw ketones rather rapidly. So peace of mind is worth a whole lot to me. On the other hand, I do miss the convenience sometimes of the pump and bolusing when out and about. I also miss the extended bolus features. My control is about the same with the syringes as the pump. My endo appointment was 5.5 A1C although being pumpless was only reflected in the last 30 days of the 90 day test. I did get pens for humolog and tresiba at the endo. I havenāt switched to them yet as I am finishing up current vials. My husband is giving my lantus shots on my backside since I canāt quite preform that move. Heās pretty good at it so in a weird way that is comforting to know he could give me shots should I need him to. (grin)
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I have yet to find a pump that is easier to use than MDI. Most people who pump would find that an odd thing to say - I get it. But it works for me. I use a bolus calculator that keeps track of my IOB and I correct after meals, as needed. My A1c is stable whether Iām pumping or not. I spend no time managing a pump. I have no issues with insulin absorption and I can Sugar Surf without fighting a one-size-fits-all response to a dropping CGM line. Just a few reasons why MDI is my insulin delivery method of choice.
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I am with you I never thought I would switch back but these new smart pens are amazing and we always know we are getting insulin !
After 25+ years on a pump I love the freedom of not having to move it around with clothes, sleep shower, swimming.
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Yes
Knowledge is everything!
Doesnāt mean I donāt correct all day long with micro Bolus. At this point, itās so easy
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