# Afrezza units: use more or less than Novolog?

**URL:** <https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166>\
**Category:** Afrezza\
**Created:** [June 6, 2017, 7:14pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166 "2017-06-06T19:14:41Z")\
**Posts on this page:** 17\
**Page:** 1

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**Author:** ![Kaelan](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/kaelan/32/989_2.png) [@Kaelan](https://forum.fudiabetes.org/u/Kaelan)\
**Post date:** [June 6, 2017, 7:14pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/1 "2017-06-06T19:14:41Z")

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If I switched to Afrezza, would I end up using more units or less units than the amount of Novolog I use everyday? How much more or less?

I would like to switch bec it’s a lot faster but I may not be able to if I’m too young.

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**Author:** ![robbmo](https://avatars.discourse-cdn.com/v4/letter/r/e79b87/32.png) [@robbmo](https://forum.fudiabetes.org/u/robbmo)\
**Post date:** [June 7, 2017, 3:25am UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/2 "2017-06-07T03:25:45Z")

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Not sure if this will help, but it is a dosing guideline chart from Dr. Jeremy Pettus. It came from this presentation, which is very informative: [http://www.medscape.org/viewarticle/878755](http://www.medscape.org/viewarticle/878755)

 ![](https://canada1.discourse-cdn.com/flex030/uploads/fudiabetes/original/1X/45541e68d5ccb374ffe67c555fd1b9597c3e1c5b.png)

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**Author:** ![Michel](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/michel/32/387_2.png) [@Michel](https://forum.fudiabetes.org/u/Michel)\
**Post date:** [June 7, 2017, 4:04am UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/3 "2017-06-07T04:04:16Z")

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So, you should assume that you would use 2x as many Units of Afrezza as you use Novolog or Humalog during a month?

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**Author:** ![mikep](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/mikep/32/149_2.png) [@mikep](https://forum.fudiabetes.org/u/mikep)\
**Post date:** [June 7, 2017, 1:53pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/4 "2017-06-07T13:53:48Z")

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I have not tracked this and 2x seems like a lot, but again, not 100% sure.

@robbmo - nice graphic, thanks for posting.

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**Author:** ![Michel](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/michel/32/387_2.png) [@Michel](https://forum.fudiabetes.org/u/Michel)\
**Post date:** [June 7, 2017, 3:13pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/5 "2017-06-07T15:13:29Z")

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@robbmo, just noticed this is your first post – welcome!

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**Author:** ![MaryPat](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/marypat/32/985_2.png) [@MaryPat](https://forum.fudiabetes.org/u/MaryPat)\
**Post date:** [June 7, 2017, 4:38pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/6 "2017-06-07T16:38:54Z")

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Welcome to the community, @robbmo ! Hope to see your posts often.

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**Author:** ![Sam](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/sam/32/10595_2.png) [@Sam](https://forum.fudiabetes.org/u/Sam)\
**Post date:** [June 7, 2017, 6:46pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/7 "2017-06-07T18:46:56Z")

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It would depend a lot on your diet I think… if you eat a lot of relatively simple carbs and moderate protein and fat (like the food pyramid / ADA diet) I’m not sure if there would be much difference. If you eat a higher protein and higher fat diet you may need appreciably more afrezza, even 2x wouldn’t surprise me, because it’s duration is so short and protein + fat tremendously slow the metabolization of carbohydrates + glucose metabolization of their own…

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**Author:** ![Kaelan](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/kaelan/32/989_2.png) [@Kaelan](https://forum.fudiabetes.org/u/Kaelan)\
**Post date:** [June 7, 2017, 6:49pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/8 "2017-06-07T18:49:16Z")

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> [@Sam](#):
>
> If you eat a higher protein and higher fat diet you may need appreciably more afrezza, even 2x wouldn’t surprise me,

I don’t eat a lot of carbs, although I am not low carb. I eat about 150 carbs a day. So I eat a lot of protein and fat.

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**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [June 7, 2017, 8:35pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/9 "2017-06-07T20:35:38Z")

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> [@Kaelan](#):
>
> I eat about 150 carbs a day.

Carb up, K!

> **[Nutrition\_for\_Athletes.pdf](https://boxing.nv.gov/uploadedFiles/boxingnvgov/content/HotTopics/Nutrition_for_Athletes.pdf)**
>
> 24.79 KB

**Carbohydrate Requirements**  
_"The recommended daily carbohydrate intake for athletes ranges from 6-10 g/kg body weight. "_

Note, that number ⬆ is grams per kilogram.

:hijacked: 🙂:hijacked:  
Sorry for the thread hijacking. Now back to your Afrezza discussion…

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<div class="post-metadata">

**Author:** ![Kaelan](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/kaelan/32/989_2.png) [@Kaelan](https://forum.fudiabetes.org/u/Kaelan)\
**Post date:** [June 7, 2017, 9:14pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/10 "2017-06-07T21:14:21Z")

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> [@Eric](#):
>
> Carb up, K!

Eric, I eat more carbs every time I have a practice.

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<div class="post-metadata">

**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [June 7, 2017, 9:31pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/11 "2017-06-07T21:31:47Z")

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Good!

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<div class="post-metadata">

**Author:** ![MaryPat](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/marypat/32/985_2.png) [@MaryPat](https://forum.fudiabetes.org/u/MaryPat)\
**Post date:** [June 9, 2017, 3:31pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/12 "2017-06-09T15:31:59Z")

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@Sam, did you by any chance notice the x factor for your own diet when you switched to Afrezza from injectable?

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<div class="post-metadata">

**Author:** ![Sam](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/sam/32/10595_2.png) [@Sam](https://forum.fudiabetes.org/u/Sam)\
**Post date:** [June 10, 2017, 10:49am UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/13 "2017-06-10T10:49:56Z")

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Honestly I pretty much just followed the dose instructions at first, e.g. Substituting a 4u cartridge for anywhere from 1-4u of novolog etc, and then as I learned just tweaked to optimize it with experience. For me, I quickly determined that timing was far more critical than dose amount…

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<div class="post-metadata">

**Author:** ![Sam](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/sam/32/10595_2.png) [@Sam](https://forum.fudiabetes.org/u/Sam)\
**Post date:** [July 12, 2017, 5:06pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/15 "2017-07-12T17:06:27Z")

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Currently it’s only FDA approved for adults. I didn’t have diabetes as a teenager, but I truly think it would have been a godsend if I had. Teenagers generally aren’t willing or able due to the typical lifestyle and social pressures of being a teenager to effectively plan out every single thing they’re going to eat and precisely dose for it significantly before eating it— that’s just not very realistic at that age-- but with afrezza they’d be able to eat much more spontaneously, with their friends etc and then dose shortly afterward and that added spontaneity would be a huge deal at that age I’d think…

But as I mentioned it’s not yet approved for teens… although if I had a teenager with that issue who had less than perfect control with liquid or who felt burdened by it psychologically, I would be seeking out a doctor who’d prescribe it anyway

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<div class="post-metadata">

**Author:** ![Chris](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/chris/32/382_2.png) [@Chris](https://forum.fudiabetes.org/u/Chris)\
**Post date:** [July 16, 2017, 3:04pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/16 "2017-07-16T15:04:25Z")

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Yeah, we are going to push for it next year in our teenager, but I am already imagining the fight we will have with our insurer…Its going to be interesting.

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<div class="post-metadata">

**Author:** ![Sam](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/sam/32/10595_2.png) [@Sam](https://forum.fudiabetes.org/u/Sam)\
**Post date:** [July 16, 2017, 3:24pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/17 "2017-07-16T15:24:32Z")

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I’m sure, like with most meds, they have discount programs etc for people whose insurance won’t cover it

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<div class="post-metadata">

**Author:** ![Sam](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/sam/32/10595_2.png) [@Sam](https://forum.fudiabetes.org/u/Sam)\
**Post date:** [July 16, 2017, 3:39pm UTC](https://forum.fudiabetes.org/t/afrezza-units-use-more-or-less-than-novolog/1166/19 "2017-07-16T15:39:14Z")

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@cynthia_rogers can probably explain he discount cards and whatnot that are available to patients or @DuckFiabetes
