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Post by lennymnkd on Sept 15, 2018 10:21:55 GMT -5
You seem to be a highly responsible and intelligent diabetic/ for those who don’t fall in that category discipline included / which I am willing to believe is great number of the patient population , a quick reading and breath seems like a very small price to pay for what you might consider an inconvenience more than anything.
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Post by sportsrancho on Sept 15, 2018 12:31:52 GMT -5
The kids I know are not taking a second dose..their meals last between eight and 20 minutes so they’re taking Afrezza 10 minutes ( usually ) into the meal. With a sip of water first. Why is this so hard, it’s just what Al said!! Depending on the carbs..eight unit for meals, 4 unit for snacks, 12 unit for pizza.
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Post by uvula on Sept 15, 2018 12:50:53 GMT -5
Aged is amazingly patient. He spends much more time explaining things to us than he spends dealing with his insulin.
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Post by agedhippie on Sept 15, 2018 16:23:28 GMT -5
You seem to be a highly responsible and intelligent diabetic/ for those who don’t fall in that category discipline included / which I am willing to believe is great number of the patient population , a quick reading and breath seems like a very small price to pay for what you might consider an inconvenience more than anything. I would have loved to know the reason why the non-compliant people in the STAT study were non-compliant. Dr Kendall speculates that it is because of fear of hypos, I suspect it was a feeling that they have taken their insulin for the meal. I think not ask why was an opportunity missed because it is almost certainly reflected in the wider community. If you know what the issue is you can address it.
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Post by lennymnkd on Sept 15, 2018 18:12:42 GMT -5
Are you suggesting the trial was flawed? Without the details and intricacies of the trial there is no fair way for me to even guess/ just have to go by what Dr Kendalls professional opinion is . ... if the trials were pro formed today would the monitoring be more up to date .
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Post by sayhey24 on Sept 15, 2018 19:34:52 GMT -5
You seem to be a highly responsible and intelligent diabetic/ for those who don’t fall in that category discipline included / which I am willing to believe is great number of the patient population , a quick reading and breath seems like a very small price to pay for what you might consider an inconvenience more than anything. I would have loved to know the reason why the non-compliant people in the STAT study were non-compliant. Dr Kendall speculates that it is because of fear of hypos, I suspect it was a feeling that they have taken their insulin for the meal. I think not ask why was an opportunity missed because it is almost certainly reflected in the wider community. If you know what the issue is you can address it. I thought Dr. Kendall explained it. Unlike you who doesn't mind waking up in the middle of the night to deal with the hypo these people did not have confidence that afrezza works as well as it does and did not want to take the chance of second dosing after dinner. The fear of the hypo with these people is huge and they must not know all the tricks you do.
However bumping this groups basal and getting them from 8 to 6.8 with no additional hypos is very doable.
Also with the kids who will learn first with afrezza compliance won't be an issue.
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Post by agedhippie on Sept 15, 2018 20:47:08 GMT -5
Are you suggesting the trial was flawed? Without the details and intricacies of the trial there is no fair way for me to even guess/ just have to go by what Dr Kendall's professional opinion is . ... if the trials were pro formed today would the monitoring be more up to date . My thought was that you have the data for who was compliant and wasn't. Why not ask the ones who were not compliant what made them decide not to follow up on the first dose. I doubt it was exclusively a fear of hypos so what were the blocks, and what were the ratios. If people are to refill, and have good effect (by which I mean the vast majority, not just a few) then it is critical to get that data so the blocks can actively be removed.
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Post by sportsrancho on Sept 15, 2018 20:47:15 GMT -5
You better believe the fear of hypo is huge ...before Afrezza Tom would come into the gym for a workout exhausted because he’d been up all night with one of the kids in the ER because of a hypo, this happen monthly!
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Post by agedhippie on Sept 16, 2018 9:05:06 GMT -5
You better believe the fear of hypo is huge ...before Afrezza Tom would come into the gym for a workout exhausted because he’d been up all night with one of the kids in the ER because of a hypo, this happen monthly! I'm absolutely think a fear of hypos played a part, but it would be good to know how big that part was. I worry about the side effects of drugs and sometimes I will not take them, Reglan for example, but others like antibiotics I will take despite the side effects. Issues can be worked on, but you need to know what they are - hypos are a given, but what else is there? I don't want just the market for people who are scared of hypos, I want the whole market.
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Post by sportsrancho on Sept 16, 2018 9:35:51 GMT -5
You better believe the fear of hypo is huge ...before Afrezza Tom would come into the gym for a workout exhausted because he’d been up all night with one of the kids in the ER because of a hypo, this happen monthly! I'm absolutely think a fear of hypos played a part, but it would be good to know how big that part was. I worry about the side effects of drugs and sometimes I will not take them, Reglan for example, but others like antibiotics I will take despite the side effects. Issues can be worked on, but you need to know what they are - hypos are a given, but what else is there? I don't want just the market for people who are scared of hypos, I want the whole market. What side effects would there be besides the hypo? Or fear of it. I’m going with Dr. Kendall knows what he’s talking about.
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Post by golfeveryday on Sept 16, 2018 10:12:53 GMT -5
You better believe the fear of hypo is huge ...before Afrezza Tom would come into the gym for a workout exhausted because he’d been up all night with one of the kids in the ER because of a hypo, this happen monthly! I'm absolutely think a fear of hypos played a part, but it would be good to know how big that part was. I worry about the side effects of drugs and sometimes I will not take them, Reglan for example, but others like antibiotics I will take despite the side effects. Issues can be worked on, but you need to know what they are - hypos are a given, but what else is there? I don't want just the market for people who are scared of hypos, I want the whole market. EVERY diabetes med comes with the potential for a hypo event, even Afrezza. Heck, if I don’t eat enough and workout, I go low and can feel it. I am not a diabetic. You cannot argue that Afrezza has the side effect profile of these newer T2 meds. You just can’t. A little cough, maybe out of the gates, but it goes away.
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Post by sweedee79 on Sept 16, 2018 10:24:26 GMT -5
You can take way more Afrezza and not go hypo... and consequently get better control.. plus it's healthier for the body because it's more natural..
Afrezza is a superior insulin.. a healthier choice .. I don't understand why certain people here want to disparage the obvious benefits that far outweigh sub-q.
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Post by sportsrancho on Sept 16, 2018 10:32:29 GMT -5
You can take way more Afrezza and not go hypo... and consequently get better control.. plus it's healthier for the body because it's more natural.. Afrezza is a superior insulin.. a healthier choice .. I don't understand why certain people here want to disparage the obvious benefits that far outweigh sub-q. Because they can obviously get away with it, and some of the people that question them get their posts deleted:-( This is the craziest thread on the board, just line up the side effects to all the other diabetic drugs and see how Afrezza compares! Thanks sweedee79.... completely agree!
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Post by georgia777 on Sept 16, 2018 11:16:07 GMT -5
Had many pts that were not intubated and in for heart problems due to diabetes(100's yr) that could inhale. Control c iv means 1hr or less finger sticks, drives pt's crazy. I could go on and on. Pt's intubated that can't inhale or incapable have lot more to worry about than glucose levels at the time. I've worked at the VA connected to Vanderbilt in Nashville which is a teaching hospital(seen about everything). Take my word for it, no tails for diabetics capable of inhalation would be godsend. in response to below post I am not sure about your ICU, but my brother is an ICU team leader in a UK teaching hospital and when I asked him about this he said that for the most part the patients on his unit would not be in a condition to use an inhaled insulin and they would rather manage it via the lines anyway. They also use continuous glucose monitoring so unexpected lows do not happen. I am curious as to why you have to wake a patient to give them D50. Can't you just use the established lines as with everything else? Edit: Actually on reflection I am not sure why you do not deliver insulin via the IV since you have the lines in rather than SQ. If you do that it acts and clears even faster than Afrezza. Read more: mnkd.proboards.com/thread/10466/positive-afrezza-clinical-study-published?page=6#ixzz5RHYhPtkM
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Post by agedhippie on Sept 16, 2018 11:22:53 GMT -5
Because they can obviously get away with it, and some of the people that question them get their posts deleted:-( This is the craziest thread on the board, just line up the side effects to all the other diabetic drugs and see how Afrezza compares! Thanks sweedee79.... completely agree! For the record; other than metformin I cannot think of another diabetes drug I would take before insulin.
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