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    • 6 hours, 28 minutes ago
      Daniel Bestvater likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 16 hours, 2 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      I oftentimes give myself a little insulin for when I go unplugged while changing pods, depending on what my current sensor reading is.
    • 16 hours, 2 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Always, until I began to increase the "cannula fill" amount. I found I need a good bit more than the (1.3u) to "prime the site" to have the next blood sugars be in goal. Just remember "every body is different". Darn than OmniPod does not let you change that amount, have to use "fake carbs". Something to consider.....
    • 16 hours, 2 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 16 hours, 3 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 20 hours, 18 minutes ago
      KSannie likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      **cannula
    • 1 day, 2 hours ago
      Kathleen Juzenas likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I find a using the T-Connect app I have the main features needed, CMG, bolus, battery level and remaining insulin.
    • 1 day, 6 hours ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 1 day, 6 hours ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Mostly pump because I want to quickly see insulin on board. Tandem on IPhone when holding my great-niece while she sleeps since getting my pump out of my pocket always wakes her ☺️. Dexcom app if not in need of insulin.
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      usually the pump; sometimes my phone.
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump (Tandem X2). Since I have to carry a work phone close to 247, I don't want to deal with two phones (device overload!). As I go about my day, looking at my pump meets my needs, I can decide to bolus etc - and edit the bolus. For more in depth data review and analysis, I use the TConnect.
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I read it from my pump.
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      On my insulin pump
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump. Keep it simple.
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      How much of this is intentionally misleading? My mail order prescription service says that can’t possibly know the cost of a medication until after it’s been shipped, which is too late to cancel or return, of course, and makes it impossible to comparison shop.
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 1 day, 7 hours ago
      Lawrence S. likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 2 days, 4 hours ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
    • 2 days, 5 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      One nice thing about a watch for readings is that, while it is normally redundant, you can be separated from your phone. For example, when you are in water.
    • 2 days, 5 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 2 days, 6 hours ago
      Kathy Hanavan likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 2 days, 6 hours ago
      John Barbuto likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 2 days, 7 hours ago
      Gerald Oefelein likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
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    Have you ever used inhaled insulin?

    Home > LC Polls > Have you ever used inhaled insulin?
    Previous

    CGM sensors are only approved for specific areas of the body, but many people use other locations. If you use a CGM, do you have an area of your body where you feel you get the most accurate sensor readings? Select all that apply!

    Next

    If you use the time-in-range metric, how often would you estimate you typically look at your time-in-range reports?

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. Collectively, they have authored over 500 diabetes publications and secured research funding from organizations such as the National Institutes of Health, Helmsley Charitable Trust, the American Diabetes Association, and Breakthrough T1D — while remaining actively engaged in both clinical care and research.  “These individuals represent an impressive body of work while remaining deeply involved in the day-to-day realities of diabetes care,” said Walton. Their expertise covers the full spectrum of T1D care — from AI and predictive analytics to complication prevention, automated insulin delivery, continuous glucose and ketone monitoring, GLP-1 treatments, health equity, mental health, autoantibody screening, and disease prevention.    Turning insight into impact  The team’s work goes beyond research, focusing on translating insights into real-world practice. 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    35 Comments

    1. AnitaS

      I have used it a few times, but since I only use it when my sugar is very high (300+), I very rarely use it. It tends to drop my sugar too low so I really don’t like to use it. Even when my sugar has reached over 300 (like when my infusion set accidentally got dislodged), my sugar drops too low when using the afrezza so I have to consume some carbs to not go too low.

      2
      4 years ago Log in to Reply
      1. Amanda Barras

        I just posted a comment where I thought this might be useful for a stubborn high or a failed sight. But, I haven’t used it myself. Good to know that going too low is a possibility!

        1
        4 years ago Log in to Reply
    2. Julie Pierce

      I have used inhaled insulin while participating in a study.

      4 years ago Log in to Reply
    3. Amanda Barras

      No, and with using the pump I’d be worried about stacking insulin if I did both. But, I think it could be useful to use like a rescue inhaler for a stubborn high to help bring it down quicker, for situations like failed sites or miss calculated carbs.

      3
      4 years ago Log in to Reply
    4. Judith Marged

      I tried inhalable insulin in a clinical trial. Once it was approved, I fought with my insurance company to cover it. I have been using Afrezza for several years now. My A1C went from 7.9 to 6.4 in the first three months. As long as I have been using Afrezza, I have never had an A1C above 6.9, which is amazing for a brittle diabetic.

      6
      4 years ago Log in to Reply
    5. Joan McGinnis

      I di not fit criteria for it have very mild asthmas, and rhinnorhea. dont think i need to try it happy with pump and sensor.

      1
      4 years ago Log in to Reply
    6. Brian Vodehnal

      It’s a game changer for treating a high. They need to work on the harshness of the delivery. Anything over 12 units is brutal.

      1
      4 years ago Log in to Reply
      1. KCR

        I primarily use it for high BGs as well—so fast, easier then an IM injection.

        4 years ago Log in to Reply
      2. Dave Akers

        There’s nothing higher than 12u cartridge to inhale. You can take multiple doses if needed.

        4 years ago Log in to Reply
    7. cynthia jaworski

      I was offered a trial, but turned it down when I learned that the smallest increment was 2 units.
      After more consideration, I think it might be useful for combating highs. Room what i read here, I would probably need less than what is typically needed for a high. However, I am still reluctant to add yet another insulin type to my collection of meds.

      4 years ago Log in to Reply
    8. Marty

      I’d love to try it to deal with highs quickly, but it’s very expensive and not covered by any Medicare supplemental drug plan as far as I know. I wonder if the $35 monthly limit on insulin costs starting in 2023 will change that.

      4 years ago Log in to Reply
    9. Ginger Vieira

      I LOVE inhaled insulin. I resisted trying it for years but it is a game-changer! There are so many misconceptions about how it works.
      Read more about my experience here on T1D Exchange: https://t1dexchange.org/my-a1c-dropped-from-6-1-to-5-7-using-inhaled-insulin-gingers-story/

      1
      4 years ago Log in to Reply
    10. Lyn McQuaid

      I have never used it but am interested in keeping it on hand for extreme highs, which seem to happen to me with pump cannula occlusions now and then. However, when I broached it with my endo, he said he wasn’t comfortable prescribing it, even for occasional use. 🤷‍♀️

      1
      4 years ago Log in to Reply
    11. Tb-well

      No, the initial release and the cancer numbers make me super hesitant to use it.

      4 years ago Log in to Reply
      1. Dave Akers

        What is your claim based on? Please site your source so we can fact check. Been using it for 4yrs straight. Seen no reports on what you’re saying.

        4 years ago Log in to Reply
    12. Bob Durstenfeld

      I tried, but was refused due to asthma. I was interested in using it to correct for high bg’s.

      4 years ago Log in to Reply
    13. mbulzomi@optonline.net

      I was in a test program using Inhaled Insulin and the test turned out to be a failure. The inhaled insulin only came in fixed dosage; however, it never covered my Bolous requirements. Only pumpers were used so as our Basels were fixed in place.

      4 years ago Log in to Reply
    14. Dave Akers

      You CANNOT match the onset, peak, and IOB time with any other insulin. Injectable isn’t for everyone, but almost everyone is on it. There is another option.
      I LIVE IT & LOVE IT!

      4 years ago Log in to Reply
    15. Sherolyn Newell

      I haven’t used it, and it sounds like I can’t. An adjustment bolus for me, even at 300, is quite a bit less than 2 units. Also, my bolus for a snack is less than 2 units.

      4 years ago Log in to Reply
    16. Sherrie Johnson

      Tried a sample wasn’t for me

      4 years ago Log in to Reply
    17. Rick Martin

      I use it as my only short-acting insulin. Due to scar tissue, inhaled has worked so much better than injections/pump. My A1c has been 6.1 since being on Afrezza for a few years now.

      1
      4 years ago Log in to Reply
    18. Kristine Warmecke

      No. My endocrinologist wanted me to take part in the trail’s before its was FDA approved but I couldn’t pass the Lung Function Test to be included.

      4 years ago Log in to Reply
    19. John Henninger

      I was involved in a test of inhaled insulin. Did not receive the results expected and was somewhat uncomfortable.

      4 years ago Log in to Reply
    20. Kevin McCue

      Overall I am pleased with inhaled insulin. Sometimes it doesn’t seem effective requiring another dose but overall works faster and falls off faster than injected insulin

      4 years ago Log in to Reply
    21. betsy valian

      It would be great if there was more information on inhaled insulin.

      4 years ago Log in to Reply
    22. Vicki Breckenridge

      I want to try inhaled insulin!

      4 years ago Log in to Reply
    23. Sandra Norman

      I use it for highs, usually because of pump failure’s, but not that often as I’m doing well on Omnipod 5. It does work very quick which is great, but unfortunately makes me cough which is annoying.

      4 years ago Log in to Reply
    24. Angela Naccari

      I have used Afrezza and loved it. I stopped when I went on Medicare two years ago because I did not want to struggle with getting the help I needed with the cost. It worked great because at the time I was having absorption problems due to almost 60 years type 1. I am back on pump now and hoping that if absorption problems happen again I will be able to go back on Afrezza and have Medicare help with the cost. It will be the only way to not have high sugars if liquid insulin cannot be absorbed!

      4 years ago Log in to Reply
    25. Tom Caesar

      My endorsement gave me samples to try with his determination that size 4=2 actual, 6=3, and 12=6. Have tried them and found them very helpful bringing down highs rapidly. Looked into insurance coverage, ha, not covered. Would cost approx $40,000 for 3 month supply of lowest dose, or $155 THOUSAND yearly!!!! Thanks but no thanks, will be happy with my pump and Humalog! Crazy

      4 years ago Log in to Reply
      1. Ginger Vieira

        Hi Tom! This is NOT the cost of Afrezza with or without insurance. They have an awesome patient assistance program for anyone who can’t get insurance coverage. (Most insurance companies will say they don’t cover it — your doctor just has to appeal.) Here are two articles to learn more about getting/paying for Afrezza:
        https://beyondtype1.org/getting-inhaled-insulin/

        3 years ago Log in to Reply
    26. Becky Hertz

      I have asthma so don’t qualify. I’d love to give it a try though.

      4 years ago Log in to Reply
    27. Mig Vascos

      I’ve never used it. I very well understand the problems with occlusions and stubborn highs. They’re real nuisances. I inject 1 or two units of Humalog to remedy the problem. But like everything with diabetes it’s always a gambling. You never know exactly how many units are going to do the trick and concern over having to fight a rapid low is always another problem.

      4 years ago Log in to Reply
    28. Bekki Weston

      Yes, been using for almost two years. Injected humalog is still my primary, but Afrezza is great for “I want/need to eat NOW” situations, and for those stubborn highs. Am soon to go on Medicare, so hope one of the supplements will cover it. Occasional slight cough, but passed the breathing test with flying colors.

      4 years ago Log in to Reply
    29. Daniel Bestvater

      No, unfortunately inhaled insulin is not available in Canada,

      4 years ago Log in to Reply
    30. Yerachmiel

      I’ve already gotten the product and a few of the inhalers but have been unable to schedule education (how to use it). If someone could point me in correct direction (or better tell me who to contact local to get help from company rep) would greatly appreciate

      1
      4 years ago Log in to Reply

    Have you ever used inhaled insulin? Cancel reply

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