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Post by shawnonafrezza on Dec 17, 2019 10:02:45 GMT -5
"Too slow". This video isn't even with a person having well dialed in settings which the beta bionics will do for you.
In the video before those systems weren't even 25% as advanced as current ones. They didn't bother with temp targets before you eat, SMB, sensitivity/resistance checking, basal tuning automatically, etc. Those systems got beat by and handful of determined PWD who actually deal with it on a day to day basis and know what does and doesn't work as well as things that can actually help. Good luck getting insurance to cover TWO rapid insulin. Afrezza would 100% need it's own class ot get that and a closed loop.
Throw low carb at a loop and...
How about low carb, a loop, and someone doing orthopedic surgery (stress makes sugars a right PITA to handle.) Pretty sure there is no "just second puff" in the OR.
Afrezza is awesome, it has it's place, but to be ignorant is a curse.
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Post by sayhey24 on Dec 17, 2019 18:55:20 GMT -5
Mr. Shawn Flynn - do you see what you are saying - temp targets before you eat, SMB, sensitivity/resistance checking, basal tuning automatically, etc.
The next thing they will add will be a ginsu kitchen knife. Rube Goldberg would be proud.
Does Dr. Bernstein need all this stuff to stay in range? What he does is flat-line his meal time sugar spikes. Thats the key not guessing about absorption due to temperature or even hydration level. He does with food exactly what afrezza does with insulin except afrezza makes things so much easier. Take the afrezza, stop the spike and BOOM, life is so much safer and easier.
Saying all these gadgets are not needed is not a case of ignorance. Its just simply that afrezza has obsoleted the need for all this complex stuff. I am sure the orthpedic would do just fine wearing a patch pump knowing their meal time spike was blunted. they are back at baseline and they have no meal time insulin on board as afrezza did its job. Then again if the orthopedic was operating on a T2 that had been an afrezza user, they would not need their foot amputated. The orthopedic could be out playing golf and not worrying about their sugars or taking someone's foot.
BTW - afrezza is not rapid insulin. Mike said the class was "ultra acting". We will see if he gets it but I think he has a better than fighting chance.
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Post by shawnonafrezza on Dec 17, 2019 19:05:48 GMT -5
Mr. Shawn Flynn - do you see what you are saying - temp targets before you eat, SMB, sensitivity/resistance checking, basal tuning automatically, etc.The next thing they will add will be a ginsu kitchen knife. Does Dr. Bernstein need all this stuff to stay in range? What he does is flat-line his meal time sugar spikes. Thats the key not guessing about absorption due to temperature or even hydration level. He does with food exactly what afrezza does with insulin except afrezza makes things so much easier. Take the afrezza, stop the spike and BOOM, life is so much safer and easier.Saying all these gadgets are not needed is not a case of ignorance. Its just simply that afrezza has obsoleted the need for all this complex stuff. I am sure the orthpedic would do just fine wearing a patch pump knowing their meal time spike was blunted. they are back at baseline and they have no meal time insulin on board as afrezza did its job. Then again if the orthopedic was operating on a T2 that had been an afrezza user, they would not need their foot amputated. The orthopedic could be out playing golf and not worrying about their sugars or taking someone's foot. BTW - afrezza is not rapid insulin. Mike said the class was "ultra acting". We will see if he gets it but I think he has a better than fighting chance.For the first bit, the code deals with that. The user is non the wiser. Literally it deals with all the hard parts of diabetes that someone that did Tresiba/Afrezza still has to calculate. Go on FB, ask them how they have to titrate their Tresiba starting DAYS before physical activity out of the norm. I know Mike Joyce talks about it. It's not set it forget it like you seem to think. A closed loop though... there's a reason the users rave about them. They finally get to let go of so much tedious tasks to keep them stable and the loop does a BETTER job as Aged pointed out. And that is the first version commercial loop which I'd argue is horrible! A 120mg/dl target and it STILL won out. diabetesresearchconnection.org/42-factors-affect-blood-glucose/Turns out diabetes is hard. For the second, yes, yes he does. All T1DM patients do. Even Afrezza ones, they talk about it in the FB group. Welcome to our life. It's extreme ignorance to think if you just eat the food he says you don't have to deal with diabetes. It only remove one of dozens of components. There's a reason his book is still hundreds of pages. Want to know the real fun bit? He does talk about temperature, hydration, and absorption in that book. I'm curious now if you've read it. I think not. For the third, if only that were true. Afrezza obsoleted the need for pre bolusing, that's about it. You could argue carb coutning but really you traded it to carb sizing. DO NOT FORGET, I use it. I am far more aware if it than you in it's practical use. How does a patch pump deal with spikes? Does it auto regulate basals? Think about that for a second, what does this "patch pump" you all keep referencing do? A standard pump does nothing about monitoring baseline. In fact it knows nothing about blood sugars at all via cgm. THAT is ignorance. I really don't think anyone outside of aged and a few others really understand how RAA administered via a pump works as a basal. Or how a basal via injection works. And finally for the BTW - I go off of what is in the FDA has. Until Make gets the class it is irrelevant. |
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Post by shawnonafrezza on Dec 17, 2019 19:15:07 GMT -5
Lets talk about that surgeon though, I really want to see how you think this works. Let's say she eats a typical plant based keto meal that she does at 11am, surgery is at 12pm. Surgery is 3 hours. She takes the Afrezza as she eats and goes to scrub up. That meal will digest for at least 4 hours so the entire time she is in surgery it is digesting + the stress/hormones of surgery making her release glucose and become slightly more IR. Obviously she could only take that initial Afrezza dose around 11am. What is going to keep her safe for the next 3.5 hours? The patch pump you say. Please enlighten me how a pump will correct blood glucose over time on it's own?
Also a note, that surgeon above is also a Dr. B follower since you took that dig as well. I know of at least 4 loopers who were/are GRIT members. THAT'S how good the loop is, it beat GRIT. Same A1C, less cognitive load.
PS - You mentioned playing golf. Guess what kind of person still worries about their sugars during physical activity? Oh yeah, a T1DM patient.
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Post by sayhey24 on Dec 17, 2019 20:04:43 GMT -5
Mr. Shawn Flynn - I thought we already concluded the good doctor is playing golf since the T2 was an afrezza user. But lets say the ADA still has not updated the SoC and another T2 whose doctor only knows about the SoC followed the "Steps" in good faith only realizing now they are the steps to failure.
Since the good doctor is an afrezza user she has no need to follow Dr. Bernstein's diet. She had a moderate carb meal. Sugar spike in 35 minutes. She took the afrezza 10 minutes after eating and at noon she is heading back to baseline. Her omnipod will take over from there and she does not accidentally cut one of the pump's tubes. She has no AP tubes. Her life is so much simpler thanks to afrezza.
Again - is there an outlier out there sure. What about the astronauts at zero gravity? Will TS properly fly at zero gravity? What about Bill Clinton. Surely he could not inhale. afrezza would never work for him.
Is afrezza right for everyone, no. Are more and more T1s using it for corrections, you bet. Will kids be the first to use it in large numbers, no doubt. I don't know if you were at the Adcom. I was. The vote was 13-1 and 14-0 to approve afrezza. The 1 no vote in the first round to approve for T1s was a pediatric endo. After the vote they polled the voters and asked why they voted the way they did. This endo went on about his concerns about afrezza's potential safety thinking of the kids but then convinced himself the risks of not using afrezza far outweighed the risks of them using. He voted yes in round two.
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Post by shawnonafrezza on Dec 17, 2019 20:13:33 GMT -5
Dude, you literally don't know how a pump works. The Omnipod does not just "take over". You also ignored that if she were playing golf it's still a problem.
Maybe pictures are worth 1000 words. Here is my last 24 hours on Tresiba/R/Afrezza. I eat the same weight out meals at the same time daily. No differences in these two days.
Second day, today, I'm downing Aferzza like a madman because I can't stay stable and in range (yellow is > 140). I think I've taken 40U of Afrezza in the last 24 hours, normally I take 8U. This is the problem.
You also conveniently didn't address 90% of what I said.
I'm 100% for people using Afrezza, I'm 100% against people thinking it's some magic that it is not. Obviously you can see that above. You can also see the hypos from Afrezza. Yes, they do happen. Funny. Had a nasty one around 9am today, was great. Puff, forget, safe my ass.
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Post by shawnonafrezza on Dec 17, 2019 20:21:51 GMT -5
PS, the omnipod can be a DIY AP and will be a FDA approved AP quite soon. So not sure what the quip about "No AP tubes is". I don't think you're really paying attention to the market. Not sure how here life is "Simpler". She knows about Afrezza, she obviously loves the AP and look where she is.
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Post by sayhey24 on Dec 17, 2019 20:45:10 GMT -5
Mr. Shawn Flynn - I don't want to give advice based on your limited graph but if the yellow line is >140 it does not appear you are going above 150. I am guessing the bottom line is 100 and you bounced off the low pretty fast. How many T1s have that TIR? Way back in this thread weren't we reading about the doctor who would not even go below 150 with his T2s? He was trying to keep the 150-300 range?
I would expect many resistant T2s to take more than 40u of afrezza on a daily basis. Many T2s are taking at least 12u per meal. I think many T1s would love your numbers.
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Post by shawnonafrezza on Dec 17, 2019 20:48:37 GMT -5
Bottom line is 70, between 55-70 is yellow, under 55 is red. Todays highest number was 171, happened overnight even after a correction 8U. Most people would love my numbers but I'm a grit believer so today is an utter disaster. If we go off the ADA 70-180 I probably spend 95% TIR* but on my phone I put my range as 65-120 because I believe in normal, non diabetic, numbers. Is today good enough for most? Yes. For me? Not even close.
* I just ran that report, 90% TIR for the last month if we want to use the lack luster ADA standard.
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Post by peppy on Dec 17, 2019 21:11:36 GMT -5
Bottom line is 70, between 55-70 is yellow, under 55 is red. Todays highest number was 171, happened overnight even after a correction 8U. Most people would love my numbers but I'm a grit believer so today is an utter disaster. If we go off the ADA 70-180 I probably spend 95% TIR* but on my phone I put my range as 65-120 because I believe in normal, non diabetic, numbers. Is today good enough for most? Yes. For me? Not even close.
* I just ran that report, 90% TIR for the last month if we want to use the lack luster ADA standard.
what did you eat today? I know it's a pain to type it. |
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Post by shawnonafrezza on Dec 17, 2019 21:18:00 GMT -5
Bottom line is 70, between 55-70 is yellow, under 55 is red. Todays highest number was 171, happened overnight even after a correction 8U. Most people would love my numbers but I'm a grit believer so today is an utter disaster. If we go off the ADA 70-180 I probably spend 95% TIR* but on my phone I put my range as 65-120 because I believe in normal, non diabetic, numbers. Is today good enough for most? Yes. For me? Not even close.
* I just ran that report, 90% TIR for the last month if we want to use the lack luster ADA standard.
what did you eat today? I know it's a pain to type it. Not really, I keep it simple. You'll hate it. 
1030am: 8oz NY cut steak, 100g avocado, 100g bell pepper
1230pm: 8oz NY cut steak, frozen microwave package of veggies that total 12g net CHO. Thinks like green beans, cauliflower, some onion, etc.
300pm: 45g almond, 100g baby carrots
600pm: 4 eggs, 150g egg white, 1.5 zucchini, the latter cooked in coconut oil
730pm: (yet to be eaten) 40g protein from powder, 1/2 cup almond milk, 25g PB2
lots of things weigh 100g because I'm too lazy to slightly tweak each thing to be perfect  Afrezza is usually used for the first two meals.
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Post by peppy on Dec 17, 2019 21:21:41 GMT -5
what did you eat today? I know it's a pain to type it. Not really, I keep it simple. You'll hate it.
1030am: 8oz NY cut steak, 100g avocado, 100g bell pepper
1230pm: 8oz NY cut steak, frozen microwave package of veggies that total 12g net CHO. Thinks like green beans, cauliflower, some onion, etc.
300pm: 45g almond, 100g baby carrots
600pm: 4 eggs, 150g egg white, 1.5 zucchini, the latter cooked in coconut oil
730pm: (yet to be eaten) 40g protein from powder, 1/2 cup almond milk, 25g PB2
lots of things weigh 100g because I'm too lazy to slightly tweak each thing to be perfect Afrezza is usually used for the first two meals.
thanks. heh. you know me well. I worry about the fat. your blood glucose levels are really good. the protein amounts make me nervous too. whey powder? |
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Post by longliner on Dec 17, 2019 21:24:52 GMT -5
what did you eat today? I know it's a pain to type it. Not really, I keep it simple. You'll hate it.
1030am: 8oz NY cut steak, 100g avocado, 100g bell pepper
1230pm: 8oz NY cut steak, frozen microwave package of veggies that total 12g net CHO. Thinks like green beans, cauliflower, some onion, etc.
300pm: 45g almond, 100g baby carrots
600pm: 4 eggs, 150g egg white, 1.5 zucchini, the latter cooked in coconut oil
730pm: (yet to be eaten) 40g protein from powder, 1/2 cup almond milk, 25g PB2
lots of things weigh 100g because I'm too lazy to slightly tweak each thing to be perfect Afrezza is usually used for the first two meals.
I'm not diabetic but it probably wouldn't hurt to have you cook for me too! NICE JOB!! I made the mistake of taking my diabetic Father in Law (among others) to dinner last night and I thoughtlessly chose pizza!!! I have gotta get it together. |
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Post by peppy on Dec 17, 2019 21:30:24 GMT -5
Not really, I keep it simple. You'll hate it.
1030am: 8oz NY cut steak, 100g avocado, 100g bell pepper
1230pm: 8oz NY cut steak, frozen microwave package of veggies that total 12g net CHO. Thinks like green beans, cauliflower, some onion, etc.
300pm: 45g almond, 100g baby carrots
600pm: 4 eggs, 150g egg white, 1.5 zucchini, the latter cooked in coconut oil
730pm: (yet to be eaten) 40g protein from powder, 1/2 cup almond milk, 25g PB2
lots of things weigh 100g because I'm too lazy to slightly tweak each thing to be perfect Afrezza is usually used for the first two meals.
I'm not diabetic but it probably wouldn't hurt to have you cook for me too! NICE JOB!! I made the mistake of taking my diabetic Father in Law (among others) to dinner and I thoughtlessly chose pizza!!! I have gotta get it togther. |
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Post by shawnonafrezza on Dec 17, 2019 21:35:42 GMT -5
I'm not diabetic but it probably wouldn't hurt to have you cook for me too! NICE JOB!! I made the mistake of taking my diabetic Father in Law (among others) to dinner and I thoughtlessly chose pizza!!! I have gotta get it togther. If you wanna do vegan The Happy Pear has amazing cheap/easy food. When I tried WFPB I used their recipes as a base for a lot.
And that's all I'll say on my personal feeling on that kind of diet. Was not blood sugar friendly for me.
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