Love the video, and great job explaining Afrezza Ginger. The only issue I had was looking over the hosts shoulder. I wanted to scream at him, hit an 8 of Afrezza and knock down that BG number!
I've been tempted to try this for a while however, my biggest concern is the food or meal factor. Never mind just carb counting, every person will have their own body reaction to any ingredient and trying to determine how long that reaction is going to be or how long whatever ingredient is going to "hang around" and have an impact can be challenging (like dinner that actually impacts hours later even though it was eaten at like dinner time - this happens to me with "keto" bread.). Initially, the impact is minimal which may work for the Afrezza but what happens after? I assume I would need another dose or like your guest mentioned still sometimes using something like Novolog. Tempting to try, inhaling is definitely a new method and would be handy (especially for things like slightly sweet alcohol that impacts fast but doesn't stay long) but...not sure. So glad to see and hear from someone actually using it.
Hi Justin, Even though I didn't have time to listen to the whole article, I know well what is being talked about. I had considered using Afrezza but unfortunately it is not currently available for the health service in my country. Combined with a latest generation delaying insulin it could avoid both the patch pump and carrying the smartphone 24/24 hours. It would be enough just to have an Eversense 385 days implant and... maybe it would make life easier. Keep writing good articles on the topic Thank you Luigi
I have been a T1D for over 40 years. I have Kaiser California Permanente healthcare. Afrezza sounds like an absolute godsend to me! but Kaiser says that they do not prescribe Afrezza. I am determined to use it! and I don't mind paying for it out of pocket, if I have no other choice. *How would I go about getting it?*
Hmmm im not sure about that - see if GoodRX has a coupon? Also, maybe get a prior authorization in collaboration with your doctor? Is that even a thing with Kaiser?
Do we know if the new inhaled insulin has Lungs side effects? The first time my doctor recommended inhale insulin, long time ago, by the time I was going to get it, it got removed from the market because it was creating problems between the powder and your lungs.
Ginger did mention that the early on inhaled insulin was taken off the market. In her experience, her lung function has not been diminish. Believe she said when she started she ran 2 miles/day. Currently running 3 miles/day.
I am a T1 going on 45years and am currently using the Tandem T-Slim. I had my Dr rx Afrezza because I wanted to trying using the inhale for mealtime and pump for basil...but my stupid insurance company (Cigna) declined it with some BS about having to prove that bolusing with pump doesnt work for me.
Good to know. I have been T1D for 53 years and am also on the TSlim. I am in Canada, so I am curious as to whether i will run into the same issue. I can see the Afrezza would deal with several frustrating issues with the pump.
@@marionkirkham8576 That is my hope...to be able to combine pump(basil) and afrezza(bolus/correction). Over the past few year I have noticed boluses and corrections taking longer ang longer to "take effect". Getting to the point where I have to pre-bolus 40+ before meal which is just not really reasonable. Have appt with Endo next week and going to discuss what we can do to get insurance on board. I also tend to get caught in rage bolusing trying to correct highs. :(
Insurance company does not want to pay for two different drugs for the same disease. You are prescribed for a fast acting insulin for the pump. And it covers bolus and basal due to how the pump operates. So insurance does not want to pay for a second insulin for bolus. You are asking for two prescriptions for the same disease. Fast acting liquid insulin and inhaled insulin. Both for diabetes. Now with injections where you use a bolus and a basal insulin, the insurance company knows they are two different drugs for the same disease. But both insulins perform different functions.
I understand that.. But the reason my Dr wants me to try Afrezza for bolus/correction is because over the years my sensitivity has gotten to the point where bolus/corrections take much longer to "take effect"...I am at the point of having to pre-bolus 40min prior to eating which is just silly. I also have to deliver larger boluses than in the past for the same BG/carb which is causing pain at the infusion site. @@russellseaton2014
One of the best informative videos on Afrezza. Ginger was very engaging and Justin asked excellent questions. The link to Gingers TH-cam channel in the description did not work for me her channel link is www.youtube.com/@DiabetesNerd 🙂
If you forget your inhaler you can slide the cartridge into the open position and inhale it straight from the cartridge. Awkward but doable. Not medical advice. Ha!
I only alert when bg is 55. Libre 3. I keep a constant watch on my numbers though.
I have been T1D for 40 years. I am losing my vision. but you perceive with the mind. Long story short, I am going to have to try this
43 year T1 and have tried Afrezza. It began to make me cough often. I do not smoke nor have asthma. It did lower my blood sugars.
Love the video, and great job explaining Afrezza Ginger. The only issue I had was looking over the hosts shoulder. I wanted to scream at him, hit an 8 of Afrezza and knock down that BG number!
Loved this interview! Hopefully available for children soon🤞
I hope so! Thanks for watching :)
Fabulous vid. Thanks to both of you!!
Glad you enjoyed it!
I’m so exhausted by closed loop pump therapy, and I’m intrigued by this approach. Thanks for sharing this!
You got it! ;)
Thanks
Wow you are amazing!!! Thank you so much!
Thanks!
You are amazing!! Thank you so much 😊
Open mind. Good advice.
Glad you think so!
I've been tempted to try this for a while however, my biggest concern is the food or meal factor. Never mind just carb counting, every person will have their own body reaction to any ingredient and trying to determine how long that reaction is going to be or how long whatever ingredient is going to "hang around" and have an impact can be challenging (like dinner that actually impacts hours later even though it was eaten at like dinner time - this happens to me with "keto" bread.). Initially, the impact is minimal which may work for the Afrezza but what happens after? I assume I would need another dose or like your guest mentioned still sometimes using something like Novolog. Tempting to try, inhaling is definitely a new method and would be handy (especially for things like slightly sweet alcohol that impacts fast but doesn't stay long) but...not sure. So glad to see and hear from someone actually using it.
It takes 3 1/2 hrs for Humalog to kick in. I have got to try this stuff!
Do we have that in europe already? Thanks for the great video!
Thank you. 😎 This is So helpful.
I put the Afrezza doses + inhaler in an empty Altoids box. Fits in my front jeans pocket.
Love that!
Hi Justin,
Even though I didn't have time to listen to the whole article, I know well what is being talked about.
I had considered using Afrezza but unfortunately it is not currently available for the health service in my country.
Combined with a latest generation delaying insulin it could avoid both the patch pump and carrying the smartphone 24/24 hours. It would be enough just to have an Eversense 385 days implant and... maybe it would make life easier.
Keep writing good articles on the topic
Thank you
Luigi
Thanks for the comment! So true.
I have been a T1D for over 40 years. I have Kaiser California Permanente healthcare.
Afrezza sounds like an absolute godsend to me! but Kaiser says that they do not prescribe Afrezza.
I am determined to use it! and I don't mind paying for it out of pocket, if I have no other choice.
*How would I go about getting it?*
Hmmm im not sure about that - see if GoodRX has a coupon? Also, maybe get a prior authorization in collaboration with your doctor? Is that even a thing with Kaiser?
If you can afford the $1400 per month for self-pay, you can probably afford a new physician to prescribe it (like $180).
Is Ginger's book on exercise relevant to people wearing insulin pumps?
So Afrezza doesn't need to be refrigerated like insulin? (less sensitive to hot/cold????)
No refrigeration required
So cool
I want to be a diabetes educator can you teach me
You can’t inhale just a little bit, but you can split cartridges if you need less.
Can’t they make a heatless vape for insulin?
That would be so cool! Sounds hard to manage the amount distributed unless it cuts off the vape... im are they are looking into it!
Is it good for 11 years old ?
Children Hospital of Philadelphia is doing a study on it right now.
Do we know if the new inhaled insulin has Lungs side effects? The first time my doctor recommended inhale insulin, long time ago, by the time I was going to get it, it got removed from the market because it was creating problems between the powder and your lungs.
Ginger did mention that the early on inhaled insulin was taken off the market. In her experience, her lung function has not been diminish. Believe she said when she started she ran 2 miles/day. Currently running 3 miles/day.
INS will not cover for whatever reaseon
I am a T1 going on 45years and am currently using the Tandem T-Slim. I had my Dr rx Afrezza because I wanted to trying using the inhale for mealtime and pump for basil...but my stupid insurance company (Cigna) declined it with some BS about having to prove that bolusing with pump doesnt work for me.
Good to know. I have been T1D for 53 years and am also on the TSlim. I am in Canada, so I am curious as to whether i will run into the same issue. I can see the Afrezza would deal with several frustrating issues with the pump.
@@marionkirkham8576 That is my hope...to be able to combine pump(basil) and afrezza(bolus/correction). Over the past few year I have noticed boluses and corrections taking longer ang longer to "take effect". Getting to the point where I have to pre-bolus 40+ before meal which is just not really reasonable. Have appt with Endo next week and going to discuss what we can do to get insurance on board. I also tend to get caught in rage bolusing trying to correct highs. :(
Insurance company does not want to pay for two different drugs for the same disease. You are prescribed for a fast acting insulin for the pump. And it covers bolus and basal due to how the pump operates. So insurance does not want to pay for a second insulin for bolus. You are asking for two prescriptions for the same disease. Fast acting liquid insulin and inhaled insulin. Both for diabetes. Now with injections where you use a bolus and a basal insulin, the insurance company knows they are two different drugs for the same disease. But both insulins perform different functions.
I understand that.. But the reason my Dr wants me to try Afrezza for bolus/correction is because over the years my sensitivity has gotten to the point where bolus/corrections take much longer to "take effect"...I am at the point of having to pre-bolus 40min prior to eating which is just silly. I also have to deliver larger boluses than in the past for the same BG/carb which is causing pain at the infusion site. @@russellseaton2014
Cool awesome
One of the best informative videos on Afrezza.
Ginger was very engaging and Justin asked excellent questions.
The link to Gingers TH-cam channel in the description did not work for me her channel link is
www.youtube.com/@DiabetesNerd
🙂
thanks fixing now!!
Thank you for link
$1350/month
If you forget your inhaler you can slide the cartridge into the open position and inhale it straight from the cartridge. Awkward but doable. Not medical advice. Ha!
interesting....