# Moving from Tslim/Dexcom to Dexcom G6, Toujeo and Afrezza

**URL:** <https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215>\
**Category:** Type 1 & LADA\
**Created:** [April 12, 2019, 8:34pm UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215 "2019-04-12T20:34:58Z")\
**Posts on this page:** 15\
**Page:** 3

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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:** [April 19, 2019, 1:16am UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/41 "2019-04-19T01:16:33Z")

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I’ve had a cgm for a few years. Currently I use the G6, but I was using the G5 when I started Afrezza.

I was affected by the steep falls a correction with Afrezza created. Over time, my variability decreased as I learned the best dosing methods. A steep correction at 180 doesn’t create the same feeling as a steep correction from 250. I may have also adjusted to the falls some. I can’t be sure.

I’ll still have a reaction if it’s a big drop, but I don’t have those very often anymore.

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**Author:** ![Jattzl](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jattzl/32/7851_2.png) [@Jattzl](https://forum.fudiabetes.org/u/Jattzl)\
**Post date:** [April 19, 2019, 1:46am UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/42 "2019-04-19T01:46:57Z")

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Well it was kind of a trial of hard core carb smoothie which I never have because even pre bolus can’t handle it and I always go low after from the bolus for that high carb count. I should have used an 8! Now I know lol. From 119 no IOB I used a 4. It went up to 296 fast so I did another 4 and dropped double arrows to 96. And smoothly evened out there since. It was a great learning experience for me!

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**Author:** ![Millz](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/millz/32/12204_2.png) [@Millz](https://forum.fudiabetes.org/u/Millz)\
**Post date:** [April 19, 2019, 4:15am UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/43 "2019-04-19T04:15:29Z")

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@Chris , I was thinking the same thing.

@Jattzl, when I started using Afrezza I also split 4u cartridges but stopped splitting doses after a short time for two reasons:

1. I found that I built up a bit of a tolerance to it, so the amount a 4u would drop my BG wasn’t as dramatic after the first month or so…don’t get me wrong it’s still an effective insulin that I use every day.
2. And as I started to get a better feel for the dosing and I used 4u cartridges more I didn’t feel a need for smaller doses.

I still love using Afrezza!

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**Author:** ![RogerType1](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/rogertype1/32/6817_2.png) [@RogerType1](https://forum.fudiabetes.org/u/RogerType1)\
**Post date:** [April 19, 2019, 11:17am UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/44 "2019-04-19T11:17:11Z")

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I enjoyed using afrezza, and might use it again for a little while if my insurance started to cover it, I just found that after a year, it was a lot of space in the refrigerator, and I found I primarily used it for hyperglycemic corrections while driving, etc. It was ideal if I miscounted the carb ratio… much easier to inhale a little more than to take another shot. It was also a lit of hassle with the insurance, Dr dosing amounts, etc. The pulmonologist did blame the afrezza on the decreased lung score, but I agree with the other thread that it is a very flawed test, and my 1st pulmonologist tested twice to receive the 100%, where 85% was still fine for my age.

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**Author:** ![Thomas](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/thomas/32/1719_2.png) [@Thomas](https://forum.fudiabetes.org/u/Thomas)\
**Post date:** [April 19, 2019, 11:55am UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/45 "2019-04-19T11:55:15Z")

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> [@Jattzl](#):
>
> Well it was kind of a trial of hard core carb smoothie which I never have because even pre bolus can’t handle it and I always go low after from the bolus for that high carb count.

We will always do a bolus plus extended bolus (Fiasp via X2) for high carb smoothies.  
It seems the type of smoothies we make provide an initial quick hit of carbs followed by a slower carb delivery over a few hours. (Or maybe the way they digest - I have no idea how it all works only what we see as a result.)  
If the entire bolus is up front, it would result in a seriously sustained low. The second time that happened, it was rather evident that a bolus 100% up front for a high carb smoothie was (at least for us) entirely inappropriate.

Practice makes perfect. (Or at least ballpark close enough.)  
😄

Not to distract from the concept of the thread but sounds like you are doing similar with an initial Afrezza bolus followed a short period later by a second Afrezza bolus.

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**Author:** ![Jattzl](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jattzl/32/7851_2.png) [@Jattzl](https://forum.fudiabetes.org/u/Jattzl)\
**Post date:** [April 19, 2019, 5:38pm UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/46 "2019-04-19T17:38:33Z")

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This is a rhetorical question - but how the hell does this stuff know to stop and level out at 90!!! It’s amazing!

Is this just me?

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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:** [April 19, 2019, 6:05pm UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/47 "2019-04-19T18:05:13Z")

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Nope, def not just you.

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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:** [April 19, 2019, 11:11pm UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/48 "2019-04-19T23:11:52Z")

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It really is almost like it is some sort of smart insulin… all I can figure is that it just allows for your own body’s mechanisms to put the brakes on and level off a lot better than liquid insulin…

I don’t really know, but clearly there is something that happens with its mechanism that just simply doesn’t happen with injected insulin… and it’s to the great benefit of the user

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<div class="post-metadata">

**Author:** ![Jattzl](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jattzl/32/7851_2.png) [@Jattzl](https://forum.fudiabetes.org/u/Jattzl)\
**Post date:** [April 19, 2019, 11:34pm UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/49 "2019-04-19T23:34:59Z")

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Yes. If I hadn’t experienced it I could never have known or understood it logically. It’s really like nothing else I’ve experienced. All the manipulations we use to mimic our bodies function feel like a constant battle to force it to control our BG. Whatever is involved in how this works just kind of flows. The concept is so foreign and a big part of why it takes a completely new mindset when using it. The rep was explaining it in more exact details when I met with him but I had no experience with it so I couldn’t take that part in. I look forward to talking with him again.

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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:** [April 19, 2019, 11:37pm UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/50 "2019-04-19T23:37:54Z")

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Yeah it’s pretty amazing stuff… that’s a big part of why they’ve had troubles reaching users because people just don’t understand its benefits… but they’re remarkable… so spread the word

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**Author:** ![Jattzl](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jattzl/32/7851_2.png) [@Jattzl](https://forum.fudiabetes.org/u/Jattzl)\
**Post date:** [April 19, 2019, 11:44pm UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/51 "2019-04-19T23:44:14Z")

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I’ve already started that! He is speaking at a rather large group of T1 pumpers that I am involved with next month.

And all of you have been significant in helping and educating me as usual ❤

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<div class="post-metadata">

**Author:** ![Jattzl](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jattzl/32/7851_2.png) [@Jattzl](https://forum.fudiabetes.org/u/Jattzl)\
**Post date:** [April 20, 2019, 6:20pm UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/52 "2019-04-20T18:20:55Z")

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@MM2 @Katers87 tips on inhaling have been successful! No powder left.

Thanks again!

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<div class="post-metadata">

**Author:** ![Jattzl](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jattzl/32/7851_2.png) [@Jattzl](https://forum.fudiabetes.org/u/Jattzl)\
**Post date:** [May 18, 2019, 3:54pm UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/53 "2019-05-18T15:54:26Z")

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@MM2 when i use the diy 2u i get inconsistent results. Do you think that is due to the small dose or something about the potency changes during the diy process? I’m curious.

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**Author:** ![MM2](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/mm2/32/3032_2.png) [@MM2](https://forum.fudiabetes.org/u/MM2)\
**Post date:** [May 18, 2019, 6:35pm UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/54 "2019-05-18T18:35:29Z")

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> [@Jattzl](#):
>
> Do you think that is due to the small dose or something about the potency changes during the diy process? I’m curious.

I don’t do it often so hard to tell. Instead I do full 4 unit, with small snack and get more consistent results. (As long as I keep the snack small! Usually a handful of cashews).

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<div class="post-metadata">

**Author:** ![Jattzl](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jattzl/32/7851_2.png) [@Jattzl](https://forum.fudiabetes.org/u/Jattzl)\
**Post date:** [May 18, 2019, 6:41pm UTC](https://forum.fudiabetes.org/t/moving-from-tslim-dexcom-to-dexcom-g6-toujeo-and-afrezza/7215/55 "2019-05-18T18:41:01Z")

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Me too

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