How to be unlimited

it works great for corrections but it also makes life a heck of a lot easier for many other instances too… like when you’re eating food that you don’t know the carb count of… or spontaneously eating like a normal person instead of prebolusing well in advance… or you’re in a social setting… and the list goes on. It’s great for corrections but it improves quality of life well beyond that.

I use novolog more often than not currently… but when I’m being ‘unlimited’ nothing even comes close to afrezza

2 Likes

I like it. The anti-glucagon. I will bring it up with our NP endo at our upcoming visit and get her take. Being a Ped, it might not be something they want to do. No downside to discussing it.

3 Likes

I’ll admit, I’m a little apprehensive about that myself.

I think this is going to end up being the approach I take, if I can get my doctor to prescribe Novolog in addition to Afrezza. I don’t see her until mid-October, so I should have plenty of time to show her how well the combo is working for me (I hope).

2 Likes

Hey @Pianoplayer7008 , I’ve been on Afrezza for over 2 years and here’s my reader’s digest after a tremendous amount of experimentation. Always remember YDMV.

-I use it in conjunction with Tresiba and Novolog.
-It is fantastic for stopping a spike in it’s tracks (literally stops it 15 minutes after a puff)
-Same goes for bringing down a high very, very quickly with little to no worry of a low. Nothing stressed me out more when I was high and I’d take Humalog/Novolog (via pump or injection) and I’d wait and wait and wait and wait for the high to start coming down. Then I’d rage bolus and ultimately go low. Not good.
-High carb foods don’t have a chance against it. Plus, the late spikes from high carb/high fat foods (pizza) are much easier to control with a puff about 90 minutes after eating.

My best advice is that it’s so flexible that you should see what works best for you.

Honestly, Afrezza helps me be Unlimited by freeing my mind and body of the stress that comes along with high blood sugar and the struggle to bring it back to normal as quickly as possible without inducing a low.

4 Likes

Ditto and ditto! I am so very glad Afrezza is one of my insulin options, to handle spikes or planned carb excursions. It eliminates stress about those issues.

Right now I’m pumping with Humalog and use Afrezza as needed (my insurance covers it :upside_down_face: ).

3 Likes

I used this post from @mentat to split Afrezza 4u cartridges into 2u doses for those times I need a small dose.

https://forum.fudiabetes.org/t/custom-afrezza-doses-making-2u-cartridges/1230

It works well for me!

4 Likes

I was chicken to try IM shots until this past year when my blood sugars were uncontrollable because of my thyroid going hyper. I started doing them, and with Apidra they were “meh.” But with Fiasp, they are amazing. It’s rare that an IM correction with Fiasp takes more than an hour to bring me into range (even when I start out really high) and the insulin seems to be gone within an hour and a half to two hours.

I also have asthma and lung scarring, so when Afrezza comes to Canada I won’t be using it all the time. But I am interested in seeing if it’s even faster than IM Fiasp. If it is, I’d like to keep some for those times I get stuck high for hours and nothing brings me down.

1 Like

That is amazing.

Where do you IM into typically? Are you able to do it reliably? What needle length do you use?

I use 12 mm needles and do it in my arm/shoulder most of the time. Accuracy is an issue and I do often miss. I’ve done it in my forearm with 8 mm needles, but this hurts way more and usually causes bleeding and bruising, but I’m able to hit the muscle more reliably.

1 Like

This reminds me of that fellow who chewed off his own arm to get out of a rock cavern. Or that Russian doctor who removed his own burst appendix in the Arctic. Not sure I have what it takes to join your ranks.

2 Likes

I sit on the sidelines and cheer them on. And then cherry pick the end results that might work for us.
lol

1 Like

It was one time when I shot up to HIGH on my Dexcom and sat there for hours that pushed me over the edge. After that first time, it got easier. Seeing my blood sugar drop from 15 mmol/L to 6 mmol/L in an hour is usually worth it. :slight_smile:

3 Likes

I am a little bit surprised because you came from back in the day, when syringe needles were all so long, that getting IM accidentally was fairly common.

I did my first IM shot was when I was 5 years old. But it was decades later before I did it on purpose. :grinning:

1 Like

Exactly.

Perhaps I have no wish to retraumatize myself.

1 Like

It would seem this is how Eric relaxes.

3 Likes

I fear you picture me as a child sharpening my thick steel needle on a whetstone by lantern-light while my glass syringe boils on the woodstove. No, in 1970 I used plastic disposables with needles that were, yes, thicker and longer than now, but they weren’t the stuff of Victorian horror stories.

Having to double-void every morning, and then test urine in a test tube with those Clinitest tablets, now that was Dark Ages. Man, I hated that. Tes-Tape was already on the market, but it took my parents a while to discover it.

You people are making me feel very senior. :unamused:

2 Likes

I was diagnosed in '72, my friend! I was right with you for all that stuff. The pee test tubes, the 5 drops of urine and 10 drops of water mixed in the test tube and then the pill dropped in (with the little color chart taped up near the toilet. Orange was bad! Remember?), the test tape, the regular R insulin made from pork or beef…

With you every step of the way!

Don’t feel “senior”, feel like you are the boss!

Look what we did! Celebrate with me!

6 Likes

You guys are just awesome! Many thanks for helping all of us along!

4 Likes

That about sums me up. You guys doing IM shots are brave. :open_mouth:

3 Likes

I quit doing intramuscular injections* when Afrezza came along because it worked faster and was much easier and the IMs did “miss” from time to time.

*spelling it out so we get more keyword hits on Google :wink:

I mostly used my forearms (8mm needles pushed down hard worked) and calves (12.7mm needles). I first tensed my muscles to find a spot with muscle close to the skin, then found a position where my muscles were relaxed, and then used meditation-style techniques to keep the muscles relaxed during the injection. Most of the time it was near-painless.

I’m thinking of trying IMs again now to save money…

5 Likes