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Post by esstan2001 on Jan 24, 2016 15:33:36 GMT -5
I think you may be confusing blood glucose meters with CGMs because CGMs definitely are not free! Typically a Dexcom is around $650 for the receiver which is the bit you keep. The consumables for a CGM are the transmitter (a couple a year) and about 50 sensors a year. The attraction of a CGM is that you can tell if you are rising or dropping and how fast. This is a big deal because if I test at 140 before a meal I will take extra insulin to bring that down. With a CGM for example I could see that I am dropping quickly and rather than taking extra insulin I should to take much less or I will go low in a while. You can do without it, and I mostly do because of the cost, but it reduces my A1c by about 0.4 (6.6 to 6.2 last time) when I use it. I agree that if you are not on insulin, and the large majority of diabetics are not, it is of limited use. My point was, and maybe I wasn't clear enough, that blood glucose meters are free because the companies make lots of money selling strips. Whereas the insurance companies will never pay for cgms because of that reality. Many type 2s on insulin do not test nearly as often as type 1s and don't like to be hooked up constantly to a meter. While we all understand that the risk of hypis are as great for anyone on insulin, the reality is that they simply don't test as often. After the two weeks that it takes to adjust the Afrezza dose and become confident that there will be no hypoglycemia, the cgm becomes useless. Why would insurance companies pay for something that is only really needed for two weeks? You are making a case for leasing / renting the CGM in combination with Afrezza for the learning period- is this something insurance would consider supporting?
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Post by peppy on Jan 24, 2016 15:46:05 GMT -5
The cynic in me, Sweat Shirts "I know you can read these." With pictures of the Continuous glucose monitors. (signed) Afrezza
Added, from the cynic: "read them and weep"
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Post by stevil on Jan 24, 2016 15:46:55 GMT -5
That is a beautiful visual. Hopefully he can keep lowering his baseline...
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Post by bioexec25 on Jan 24, 2016 15:54:16 GMT -5
It is truly a thing of beauty.
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Post by peppy on Jan 24, 2016 16:13:17 GMT -5
That is a beautiful visual. Hopefully he can keep lowering his baseline... I love you stevil. When I see these continuous glucose monitors remember normal on any glucose level laboratory results sheet is 60 to 90. And 90 is a ok. We have not gone crazy have we.
Perhaps I have read this incorrectly. Perhaps, it is the toujeo that can be lowered.
ok, maybe I am being sassy. Do we really want to be running around with a blood glucose level of 70? I say no. What is your blood glucose?
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Post by peppy on Jan 24, 2016 16:33:43 GMT -5
On the back of the sweat shirt. The cynic in me is , in your face. (From Matt B site. Matt B. work.)
"You do not get 1st phase insulin response with fast acting insulin analogs."
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Post by stevil on Jan 24, 2016 16:58:28 GMT -5
That is a beautiful visual. Hopefully he can keep lowering his baseline... I love you stevil. When I see these continuous glucose monitors remember normal on any glucose level laboratory results sheet is 60 to 90. And 90 is a ok. We have not gone crazy have we.
Perhaps I have read this incorrectly. Perhaps, it is the toujeo that can be lowered.
ok, maybe I am being sassy. Do we really want to be running around with a blood glucose level of 70? I say no. What is your blood glucose?
haha no I wasn't disguising criticism in my compliment. 106 is an amazing number for a diabetic, especially with how flat the line is. It doesn't look like he ate any food during that snapshot, or if he did it had a pretty low glycemic index (hard to tell if that small spike was from liver glucose or from exogenous glucose- to me anyway...), so I was hoping he could show more "normal" (non-diabetic/non-prediabetic) numbers in the sub-100 range. It looks like he spent quite a bit of time down there, so no... not a criticism. Just hope for his sake that his numbers decrease just a little bit more And I haven't ever really monitored my glucose. The only times I've taken it in the past couple years was during the biochemistry workshop we had a couple months ago and during my physicals. And my fasting BG was around 74 both times... But I am young, in pretty good shape and have a decent diet. And sassiness is welcome as long as you mean well
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Post by peppy on Jan 24, 2016 17:03:17 GMT -5
wow a fasting blood glucose of 74. You are not an ordinary human being.
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Post by stevil on Jan 24, 2016 17:17:47 GMT -5
wow a fasting blood glucose of 74. You are not an ordinary human being.
You'd be surprised. Most of my class was in the 70's to low 80s. We only had one guy (who was obese) with a FBG of... I think... 124? I'm not sure if he was on any type of therapy, but he was obviously pre-diabetic if not diabetic... One of my friends who is a pharmacist (we give him flak all the time for being dumb enough to come back to school) is actually 40 years old and Chinese. And when I say Chinese, I mean he eats only authentic Chinese food. Both he and his wife are from China. Anyway, he was the one that surprised us the most... His FBG was actually 69 and his postprandial graph had the broadest slope and lowest peak of anyone else in my class. That guy wasn't human... After eating a medjool date, that we were told had around 50 g of glucose in it, his BG peaked around 125 or so after 45 min and then down to around 90 after an hour. I think mine peaked in the high 130s or low 140s and then returned to around 105 after an hour after drinking orange juice, also with around 50g of glucose. I don't think it's too terribly uncommon for healthy individuals (especially if they're in their 20s) to have FBG levels in the 70s, so long as they regularly exercise and have diets with fairly low carb and high fiber content.
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Post by suebeeee1 on Jan 25, 2016 1:54:08 GMT -5
wow a fasting blood glucose of 74. You are not an ordinary human being.
You'd be surprised. Most of my class was in the 70's to low 80s. We only had one guy (who was obese) with a FBG of... I think... 124? I'm not sure if he was on any type of therapy, but he was obviously pre-diabetic if not diabetic... One of my friends who is a pharmacist (we give him flak all the time for being dumb enough to come back to school) is actually 40 years old and Chinese. And when I say Chinese, I mean he eats only authentic Chinese food. Both he and his wife are from China. Anyway, he was the one that surprised us the most... His FBG was actually 69 and his postprandial graph had the broadest slope and lowest peak of anyone else in my class. That guy wasn't human... After eating a medjool date, that we were told had around 50 g of glucose in it, his BG peaked around 125 or so after 45 min and then down to around 90 after an hour. I think mine peaked in the high 130s or low 140s and then returned to around 105 after an hour after drinking orange juice, also with around 50g of glucose. I don't think it's too terribly uncommon for healthy individuals (especially if they're in their 20s) to have FBG levels in the 70s, so long as they regularly exercise and have diets with fairly low carb and high fiber content. I don't think it is terribly uncommon for people of any age who are not diabetic or pre-diabetic to have fasting bg in the 70s or 80s. Mine is at 80-84 each time it is tested (and I'm considerably older than you). In addition, I've had the opportunity to see lots of test results of others throughout my life and most were low as well. That is, of course, if we are only talking about the first fasting bg test of the day. It seems that after one eats an waits a few hours, it only seems to come back down into the 90s.
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Post by peppy on Jan 25, 2016 5:38:21 GMT -5
Bringing this thread back to Ideas for the ADA Continuous Glucose monitors are visual and intellectual verification that technosphere insulin should not be ignored.
I like the idea a new afrezza prescription coming with a 30 to 60 day continuous glucose monitor trial.
In a results based medical model Continuous glucose monitors and subsequently Hga1c's are our best friends. Matt B a good friend. www.youtube.com/watch?v=oyqNBxaOGsY
ADA in June. Mannkind gets afrezza pricing back in April.
(The pediatric trial includes continuous glucose monitors. The patients are expected to participate in the study for approximately 6 to 8 weeks from Screening to final follow-up visit. Patients who completed 4 weeks of Afrezza treatment and have shown to be safe and well controlled with Afrezza + basal insulin will have the option to continue the extension treatment up to 1 year.) screencast.com/t/UStjt3OT
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Post by harryx1 on Jan 25, 2016 9:01:55 GMT -5
Yes, fly in Matt B. to recreate his Extreme Glucose Challenge video live and name the session something like "Afrezza - A Realtime Insulin Demonstration"
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Post by centralcoastinvestor on May 22, 2016 9:41:02 GMT -5
I never did send this idea in to MannKind. Any suggestions on the best way to do this?
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Post by agedhippie on May 22, 2016 11:09:09 GMT -5
Bringing this thread back to Ideas for the ADA Continuous Glucose monitors are visual and intellectual verification that technosphere insulin should not be ignored.
I like the idea a new afrezza prescription coming with a 30 to 60 day continuous glucose monitor trial.
In a results based medical model Continuous glucose monitors and subsequently Hga1c's are our best friends. Matt B a good friend. www.youtube.com/watch?v=oyqNBxaOGsY
ADA in June. Mannkind gets afrezza pricing back in April.
(The pediatric trial includes continuous glucose monitors. The patients are expected to participate in the study for approximately 6 to 8 weeks from Screening to final follow-up visit. Patients who completed 4 weeks of Afrezza treatment and have shown to be safe and well controlled with Afrezza + basal insulin will have the option to continue the extension treatment up to 1 year.) screencast.com/t/UStjt3OT
The run cost of a Dexcom for 28 days is just over $1,000. Who would bear that cost? The problem is that although it would introduce Dexcom and a CGM to a huge population relatively speaking there would be an extremely low follow though because of the lack of insurance cover. There is not a lot in this for Dexcom other than a one off sale of a few hundred systems and a large training load!
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Post by cm5 on May 22, 2016 11:51:56 GMT -5
Post by otherottawaguy on 3 hours ago
" Send the suggestion directly to Mike C. He was writting down notes during the ASM whenever someone had something interesting to suggest. "
OOG
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