I’ve been using Affrezza lately for bolus and corrections and have been happy with it. Now I’m getting ready for a road trip and am trying to figure out how to efficiently carry all the Affrezza I will need for 2 weeks. So far the best idea I’ve heard is ziploc bags, organized by dose size. Has anybody done anything more purpose-built than multiple ziploc bags?
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The zip lock bags will not do well with storage when the Afrezza cartridges are outside of the sealed three packs. There are a few options, a sealed container like an Rx bottle with a desiccant packs inside the bottle work well. The Afrezza needs to be kept absolutely dry once the cartridges are removed from the foiled covered three packs. My preference is using a seal a meal bag packed individually.
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The other potential problem is being outside the refrigerator. Once it’s not refrigerated, it’s not supposed to be used after 10 days in the sealed foil 3 packs. I’m sure it might be good since they are always playing it really safe whenever they give guidelines, but for how long would be the question.
file:///C:/Users/hawth/Downloads/US-AFR-1686_Storage-and-Handling-Guide-Digital-2021.pdf
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They’re pretty forgiving.
The only thing that ever gave me any concern is if you’re in high humidity and have the blister pack opened, it seems like excess moisture could lead the powder that’s supposed to easily aerosolize into a clumping situation—- I’ve never actually seen or experienced ill effects from this, but it’s something that’s weighed on my mind.
In general I’d say just treat it like other insulin. If it’s hot, don’t leave it in the blasting Sun, etc. if a blister pack is open, maybe put it in a ziplock bag.
Glad to hear it’s working well for you
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Id also love to hear your own thoughts on its dosing… it’s something I’ve posted on ad naseum but really felt unheard and not understood on. Welcome your thoughts and observations
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Dosing has been a bit easier for me on corrections and a little funky on meal bolus. I’ve been struggling with an increased TDD since late fall, likely caused by gaining some unwanted weight and that has screwed up my I:C ratio. The following is how I am dosing nowadays…if I can take off about 10 pounds I will probably be using lower doses.
The packaging says to estimate a 4 u capsule is equivalent to 2.5 u injected fast insulin, I have been experiencing close to that but developed my own rule of thumb as 4u capsule = 2 units injected Fiasp or Lyumjev. For correcting a rise that is headed above 150 I take 1 capsule and if I am correcting a rise over 180 it’s 2 capsules. Repeat about 1 hour later if flatlining higher than desired range.
For meals, lately I’ve been using a total of 12 u capsules (= 6 or 7.5u injected) for breakfast and dinner which are often 65 or so slow carbs…but adding a 3 u injected bolus with the Omnipod to give a little bolus tail a few hours later. The Affrezza is in and out of my BG much faster (by 2 hours or so) at the tail end than Fiasp or Lyumjev for me. If I don’t take that 3 u injection with the meal it’s almost guaranteed I’ll be needing a correction 90 minutes after the meal. Alternately I’ve tried a temp basal for about 2-3 hours after eating to provide a tail but not much success with that one.