# Afrezza & upcoming endo appt

**URL:** https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024
**Category:** Afrezza
**Created:** [December 30, 2017, 7:18pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024 "2017-12-30T19:18:25Z")
**Posts on this page:** 20
**Page:** 4

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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: [February 5, 2018, 10:39pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/61 "2018-02-05T22:39:06Z")

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I had fish tacos with carb balance tortillas and some other stuff…

I struggle with pasta regardless of the type of insulin… probably because there’s about 1 lb of meat and cheese and sauce on it by the time I eat it

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### Author: ![kmichel](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/kmichel/32/3085_2.png) [@kmichel](https://forum.fudiabetes.org/u/kmichel)
#### Post date: [February 5, 2018, 10:52pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/62 "2018-02-05T22:52:10Z")

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I wouldn’t recommend it, but I went all out and had some fire baked margherita pizza. It took some follow on doses but wasnt too bad.

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### Author: ![TravelingOn](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/travelingon/32/1583_2.png) [@TravelingOn](https://forum.fudiabetes.org/u/TravelingOn)
#### Post date: [February 5, 2018, 11:12pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/63 "2018-02-05T23:12:57Z")

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> [@Katers87](#):
>
> What was your first meal on Afrezza?

EH’s was a hamburger with a bun. (We don’t usually do buns.) 😍🍔

Lately, he’s found that the Afrezza isn’t working as well to bring down his stubborn highs. But when he’s exercising regularly and using the Afrezza with meals of moderate carb loads, it works well! It’s great it’s out of the system so quickly.

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### Author: ![Katers87](https://avatars.discourse-cdn.com/v4/letter/k/a9adbd/32.png) [@Katers87](https://forum.fudiabetes.org/u/Katers87)
#### Post date: [February 5, 2018, 11:41pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/64 "2018-02-05T23:41:06Z")

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I think it’s funny that @kmichel and EH (@TravelingOn) chose such high protein/fat meals! For those meals I have to dose again an hour or two later! I was having a hard time thinking of low protein/low fat meals that still have a decent amount of carbs (hence pasta). @Sam is right though- pasta truly is best with loads of delicious protein on top.

I have decided to just eat things I would normally eat and see how it goes. I’m going to get Cava tonight with rice and a small pita bread! Normally I wouldn’t get the rice.

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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: [February 5, 2018, 11:46pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/65 "2018-02-05T23:46:54Z")

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Cava wine? Just bear in mind always round your afrezza dose up… just like the dosage guide says, at least until you develop your own strategies… you don’t want to be thinking “well I’d take 5u of novolog for this and that’s pretty darn close to 4 so I’ll just take 4 of afrezza”. That’s not going to work, instead it’s “I’d take 5 novolog so that rounds up to 8 afrezza”

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### Author: ![Katers87](https://avatars.discourse-cdn.com/v4/letter/k/a9adbd/32.png) [@Katers87](https://forum.fudiabetes.org/u/Katers87)
#### Post date: [February 5, 2018, 11:49pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/66 "2018-02-05T23:49:08Z")

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haha. I wish. No Afrezza needed for that though. Nah, delicious mediterranean food.

[https://order.cava.com/stores/15/menu?utm\_source=local&utm\_medium=location\_p](https://order.cava.com/stores/15/menu?utm_source=local&utm_medium=location_p)

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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: [February 5, 2018, 11:52pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/67 "2018-02-05T23:52:25Z")

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Afrezza will handle that effortlessly.

Might take a few stabs to get your timing down but if that’s how you eat afrezza will be your best friend.

I’d wash your cava down with some cava if I were you.

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### Author: ![Katers87](https://avatars.discourse-cdn.com/v4/letter/k/a9adbd/32.png) [@Katers87](https://forum.fudiabetes.org/u/Katers87)
#### Post date: [February 5, 2018, 11:54pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/68 "2018-02-05T23:54:41Z")

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Excellent suggestion! Too bad I don’t have any hanging around.

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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: [February 5, 2018, 11:57pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/69 "2018-02-05T23:57:05Z")

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Just post on Craigslist that you’re a 30 something blonde and need someone to bring over a bottle of champagne… it’ll be there in 10 minutes and you won’t even have to pay for it…

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### Author: ![Katers87](https://avatars.discourse-cdn.com/v4/letter/k/a9adbd/32.png) [@Katers87](https://forum.fudiabetes.org/u/Katers87)
#### Post date: [February 5, 2018, 11:58pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/70 "2018-02-05T23:58:05Z")

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Hahahaha. That’d definitely make for some interesting company.

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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: [February 6, 2018, 12:10am UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/71 "2018-02-06T00:10:32Z")

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You never know… that’s how I met my wife

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### Author: ![Tony](https://avatars.discourse-cdn.com/v4/letter/t/ee7513/32.png) [@Tony](https://forum.fudiabetes.org/u/Tony)
#### Post date: [February 6, 2018, 12:36am UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/72 "2018-02-06T00:36:59Z")

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You will need a lung function test done before being approved for afreeza

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### Author: ![Katers87](https://avatars.discourse-cdn.com/v4/letter/k/a9adbd/32.png) [@Katers87](https://forum.fudiabetes.org/u/Katers87)
#### Post date: [February 6, 2018, 12:40am UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/73 "2018-02-06T00:40:46Z")

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Yes @Tony. I have had a spirometry test. Please see my response to your past statement on this.

> [@My spirometry self-test meter for Afrezza arrived](https://forum.fudiabetes.org/t/my-spirometry-self-test-meter-for-afrezza-arrived/3411/6):
>
> I had asthma as a baby, and I passed the spirometry test and was approved for Afrezza. I haven’t started it yet, but my FEV1 results came back a little higher than the expected values for my age/height/weight. You may or may not be comfortable with using it, but I haven’t read anywhere that it’s contraindicated for people who grew out of asthma.

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### Author: ![CarolynA](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/carolyna/32/1828_2.png) [@CarolynA](https://forum.fudiabetes.org/u/CarolynA)
#### Post date: [February 6, 2018, 2:29am UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/74 "2018-02-06T02:29:32Z")

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Looks delicious! I’m definitely going to ask about getting some at my next endo appt (not til May since I have to drive 2 hours each way and my primary probably won’t navigate the insurance hurdles even though I’m sure he’d write the prescription if I wanted to pay out of pocket), but I doubt my primary doc will be able to get through all the insurance hurdles). I want to be able to scarf down pancakes with maple syrup again in large quantities. Can’t wait to see your results!

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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: [February 6, 2018, 2:37am UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/75 "2018-02-06T02:37:57Z")

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> [@CarolynA](#):
>
> primary probably won’t navigate the insurance hurdles even though I’m sure he’d write the prescription if I wanted to pay out of pocket), but I doubt my primary doc will be able to get through all the insurance hurdles)

That’s exactly the opposite of my experience… my endo knows everything about diabetes but wouldn’t lift a finger for a PA or anything like that , my primary is prettty decent overall but would absolutely take care of business no matter what it took…

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### Author: ![kmichel](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/kmichel/32/3085_2.png) [@kmichel](https://forum.fudiabetes.org/u/kmichel)
#### Post date: [February 6, 2018, 3:23am UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/76 "2018-02-06T03:23:06Z")

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> [@Sam](#):
>
> my endo knows everything about diabetes but wouldn’t lift a finger for a PA

Same here. I wrote the PA for him. He uses it with other Afrezza patients now. They aren’t too hard to write, but glad my new RX insurance (Express Scripts) doesn’t require one.

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### Author: ![Tony](https://avatars.discourse-cdn.com/v4/letter/t/ee7513/32.png) [@Tony](https://forum.fudiabetes.org/u/Tony)
#### Post date: [February 6, 2018, 7:00am UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/77 "2018-02-06T07:00:05Z")

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> [@kmichel](#):
>
> Same here. I wrote the PA for him. He uses it with other Afrezza patients now. They aren’t too hard to write, but glad my new RX insurance (Express Scripts) doesn’t require one

the weird thing is, afreeza would have been free for me with my old insurance

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### Author: ![cardamom](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/cardamom/32/2622_2.png) [@cardamom](https://forum.fudiabetes.org/u/cardamom)
#### Post date: [February 6, 2018, 1:00pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/78 "2018-02-06T13:00:13Z")

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So my endo is willing to prescribe Afrezza, but my current insurance won’t cover it, and based on my experience with them, my A1c is currently too “good” for a PA to work. I should be switching insurances in a couple of months, so I’m probably going to wait to see how the new one handles it, but have people had luck getting free samples or significant enough discounts from Mannkind to make not going through insurance reasonable?

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### Author: ![Katers87](https://avatars.discourse-cdn.com/v4/letter/k/a9adbd/32.png) [@Katers87](https://forum.fudiabetes.org/u/Katers87)
#### Post date: [February 6, 2018, 2:50pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/80 "2018-02-06T14:50:38Z")

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I didn’t try going that route, but hopefully other people on here have some experience with this.

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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: [February 6, 2018, 4:01pm UTC](https://forum.fudiabetes.org/t/afrezza-upcoming-endo-appt/3024/81 "2018-02-06T16:01:58Z")

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> [@cardamom](#):
>
> have people had luck getting free samples or significant enough discounts from Mannkind

There is a sampling program. I think this is how @Pianoplayer7008 started?

@kmichel, do you have information on this?

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