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Post by Deleted on Apr 3, 2017 9:18:54 GMT -5
Right before the TASE fiasco my friend who worked for a Hedge Fund told me he heard from a contact in Israel that MNKD was doing a deal and lead them to believe even more that SNY was dropping MNKD. My friend and I had actually not been on speaking terms at times because he kept telling me to sell my shares of MNKD and I was taking it personal that my golden ticket was causing me to lose money. Right around that time my family members wife who is a nutritionist went to a conference where SNY was talking about Afrezza.
So I ignored his comments and stayed the course and we all know how that went.
I spoke to this nutritionist this morning because she was at conference this weekend and she told me Afrezza did come up and the two concerns the presenter (who is also a dietician) brought up are the lungs and limited dosing concerns. The limitation concerns is that there is only 4,8,12, and if a 6 was needed for example it would be hard to give that dosage. I honestly dont follow the stock as much anymore and I don't remember the dosing concerns.
I would like to be able to tell her this is incorrect and if it is have Mike reach out to this dietician because a whole room full of people just wrote Afrezza off because of this dietician.
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Post by peppy on Apr 3, 2017 9:45:41 GMT -5
Right before the TASE fiasco my friend who worked for a Hedge Fund told me he heard from a contact in Israel that MNKD was doing a deal and lead them to believe even more that SNY was dropping MNKD. My friend and I had actually not been on speaking terms at times because he kept telling me to sell my shares of MNKD and I was taking it personal that my golden ticket was causing me to lose money. Right around that time my family members wife who is a nutritionist went to a conference where SNY was talking about Afrezza. So I ignored his comments and stayed the course and we all know how that went. I spoke to this nutritionist this morning because she was at conference this weekend and she told me Afrezza did come up and the two concerns the presenter (who is also a dietician) brought up are the lungs and limited dosing concerns. The limitation concerns is that there is only 4,8,12, and if a 6 was needed for example it would be hard to give that dosage. I honestly dont follow the stock as much anymore and I don't remember the dosing concerns. I would like to be able to tell her this is incorrect and if it is have Mike reach out to this dietician because a whole room full of people just wrote Afrezza off because of this dietician. Afrezza is different than subq insulin. Phase one and two and all. I wish MNKD would make a deal in Israel. Mango tells me Raphael Mechoulam, has several patents now for synthetic CBD compounds. That would be one deal MNKD could take. TEVA, it would seem to me teva could take over fast acting insulin human. human insulin does not require a prescription?
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Post by Deleted on Apr 3, 2017 9:49:47 GMT -5
I def understand the differences of inhaled and injectable but the dosing I do not understand.
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Post by akemp3000 on Apr 3, 2017 10:15:19 GMT -5
Matt did say international agreements are forthcoming in the near future and would be announced when finalized but not sooner. Come on Matt. We're ready.
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Post by zuegirdor on Apr 3, 2017 10:36:39 GMT -5
Right before the TASE fiasco my friend who worked for a Hedge Fund told me he heard from a contact in Israel that MNKD was doing a deal and lead them to believe even more that SNY was dropping MNKD. My friend and I had actually not been on speaking terms at times because he kept telling me to sell my shares of MNKD and I was taking it personal that my golden ticket was causing me to lose money. Right around that time my family members wife who is a nutritionist went to a conference where SNY was talking about Afrezza. So I ignored his comments and stayed the course and we all know how that went. I spoke to this nutritionist this morning because she was at conference this weekend and she told me Afrezza did come up and the two concerns the presenter (who is also a dietician) brought up are the lungs and limited dosing concerns. The limitation concerns is that there is only 4,8,12, and if a 6 was needed for example it would be hard to give that dosage. I honestly dont follow the stock as much anymore and I don't remember the dosing concerns. I would like to be able to tell her this is incorrect and if it is have Mike reach out to this dietician because a whole room full of people just wrote Afrezza off because of this dietician. Hope this reply comes in time to make a difference to the room you are in. the titration is an Endo bugaboo. they make their living off of being able to tell patients how much injected insulin to take. They make their living by telling people its OK to not be in range all the time becuase its better than dying of a hypo. Of course that all gets chucked out the window with Afrezza. You don't need a six or even a 2 unit cartridge unless you are a child under 10. Afrezza is cleared by the liver and bound to cell wall and other sites so rapidly that the chance of hypos is drastically reduced. the net result of this is that there is less time for "extra" insulin to work its nefarious ways. A 4 works like 1 unit or 4 units of injected depending if there is food on board. similarly an 8unit works like a 3 or an 8 unit of injected depending on hether food is in the system. that is my observation but you can easily confirm with others on afrezza. This flesibility and physiological adeptness, which injected lacks, is what also makes Endos nervous. There is too much explaining to patients, which takes time when you have 100-200 of them to treat-most of which are out of target and thus all these conversations are fraught with angst of failed therapies and low self esteem on the part of patients. But that does not escsue your "friend" for talking out his @ss about what he has no first hand knowledge of. He can reach me on Twitter if he has any questions. Handle is Afrezza4Teens |
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Post by cjm18 on Apr 3, 2017 10:38:22 GMT -5
US sales need to pick before international expansion. Mid term was word used in one of the recent conference calls as to when to expect this.
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Post by peppy on Apr 3, 2017 10:45:40 GMT -5
I def understand the differences of inhaled and injectable but the dosing I do not understand. I think the Afrezza dosing is more simple than subq dosing. Here are some benefits I can see, and I am not a diabetic.
Benefit of afrezza. You can take the dose while eating/drinking. Subq Type One are total to estimate the amount of carbs they are going to eat and dose prior to the meal. Many subq type one take the dose after eating. Additionally, type ones are taught how to sugar surf. Plan for insulin on board etc. Afrezza easier. if blood glucose raises higher the 130 a second dose.
Afrezza, dosing seems to be related to, starting blood glucose level. The size of the meal. The amount of fat in the meal. Matt said for lunch he had, "Toasted cheese sandwich." (Grille cheese) He said 8 units afrezza was enough to cover the toasted cheese sandwich. Take the afrezza 10 mins into the meal.
What is complicated is subq dosing. Bolus – Carbohydrate coverage
The bolus dose for food coverage is prescribed as an insulin to carbohydrate ratio.The insulin to carbohydrate ratio represents how many grams of carbohydrate are covered or disposed of by 1 unit of insulin.
Generally, one unit of rapid-acting insulin will dispose of 12-15 grams of carbohydrate. This range can vary from 4-30 grams or more of carbohydrate depending on an individual’s sensitivity to insulin. Insulin sensitivity can vary according to the time of day, from person to person, and is affected by physical activity and stress.
Bolus – High blood sugar correction
(also known as insulin sensitivity factor)
The bolus dose for high blood sugar correction is defined as how much one unit of rapid-acting insulin will drop the blood sugar.
Generally, to correct a high blood sugar, one unit of insulin is needed to drop the blood glucose by 50 mg/dl. This drop in blood sugar can range from 15-100 mg/dl or more, depending on individual insulin sensitivities, and other circumstances.
Back to Afrezza: “a 4-unit cartridge reduces my glucose by 30 mg/dL in 90 minutes”), ajmc.s3.amazonaws.com/_media/_pdf/EBDM0916.pdf
What the dietian did not understand is afrezza keeps blood glucose from going high in the first place. The phase one, other fast acting insulins did not have that. That is why she/he can not figure it out.
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Post by zuegirdor on Apr 3, 2017 10:58:48 GMT -5
Right before the TASE fiasco my friend who worked for a Hedge Fund told me he heard from a contact in Israel that MNKD was doing a deal and lead them to believe even more that SNY was dropping MNKD. My friend and I had actually not been on speaking terms at times because he kept telling me to sell my shares of MNKD and I was taking it personal that my golden ticket was causing me to lose money. Right around that time my family members wife who is a nutritionist went to a conference where SNY was talking about Afrezza. So I ignored his comments and stayed the course and we all know how that went. I spoke to this nutritionist this morning because she was at conference this weekend and she told me Afrezza did come up and the two concerns the presenter (who is also a dietician) brought up are the lungs and limited dosing concerns. The limitation concerns is that there is only 4,8,12, and if a 6 was needed for example it would be hard to give that dosage. I honestly dont follow the stock as much anymore and I don't remember the dosing concerns. I would like to be able to tell her this is incorrect and if it is have Mike reach out to this dietician because a whole room full of people just wrote Afrezza off because of this dietician. Afrezza is different than subq insulin. Phase one and two and all. I wish MNKD would make a deal in Israel. Mango tells me Raphael Mechoulam, has several patents now for synthetic CBD compounds. That would be one deal MNKD could take. TEVA, it would seem to me teva could take over fast acting insulin human. human insulin does not require a prescription?
OK, my last barrage was delivered at light speed in case there were time constraints at your end. I need reiterate that titration is magic cepter of endocrinology practices. It casts a spell of logic and confidence over the proceedings in the endo's office. Only that spell does not protect the patient when he returns to his home and realizes that injected does not really "titrate" either. That is what hypos and 65% of patients out of target Blood Glucose means. tell the Dietician that his patients need faster, more phyisologically adept, injected insulin if they want to go around talking about "titratability". Truth is that the only way to titrate injected insulin well is by having Diabetics eat low carb. Great idea and everything, but it begs the point about the titratability of insulins. I am furious as you can tell. So as to titrating Afrezza. something we are realizing is that Afrezza also works best if you can start meal time dosing while in the 70-90 range, just like normoglycemic individuals. Chasing a high blood sugar at meals or any other time, will mean you will need to take more Afrezza. Its hard to find the motivation for this technique because Afrezza will correct you so fast if you blow it. But after a while you understand how much more efficient it is to stay in range. I think that is why you see Eric F, Sam F Cynthia R-K, Duckfiabetes and Afrezzaguy CGM traces in flatline. We just started doing that with my son this week end and whoa what a difference. He needs half as much Afrezza-which is big for us since wwe pay OUT OF POCKET for it and have frequently been running out. Now he stays in range (generally below 100)AND uses less Afrezza! The big take home for us was that the amounts needed to titrate change with the range you have set. we have been using Afrezza for him for three months and just now realized we were still under the Endo's spell. We believed that the 130 to 80 range they set for him as a 17 year old(was 180 to 80 a year ago) was reasonable. It may be for injected but it is all wrong for dosing Afrezza. It is OK to go to 130 or higher while on afrezza after a meal, but your range pre-meal and post digestion should be the same as a normoglycemic individual: 70 to 90! ITS WHAT THE BODY WANTS. And it is making a huge difference as we learned this weekend. My son did not get enthusiastic about follow up dosing until we saw this pattern working. Titration has less to do with this kind of control than timeing and setting the normal type of Fasting Blood Glucose targets THAT ONLY AFREZZA allows you to set (assuming you like to eat a conventional diet). |
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Post by zuegirdor on Apr 3, 2017 11:19:09 GMT -5
I def understand the differences of inhaled and injectable but the dosing I do not understand. I think the Afrezza dosing is more simple than subq dosing. Here are some benefits I can see, and I am not a diabetic.
Benefit of afrezza. You can take the dose while eating/drinking. Subq Type One are total to estimate the amount of carbs they are going to eat and dose prior to the meal. Many subq type one take the dose after eating. Additionally, type ones are taught how to sugar surf. Plan for insulin on board etc. Afrezza easier. if blood glucose raises higher the 130 a second dose.
Afrezza, dosing seems to be related to, starting blood glucose level. The size of the meal. The amount of fat in the meal. Matt said for lunch he had, "Toasted cheese sandwich." (Grille cheese) He said 8 units afrezza was enough to cover the toasted cheese sandwich. Take the afrezza 10 mins into the meal.
What is complicated is subq dosing. Bolus – Carbohydrate coverage
The bolus dose for food coverage is prescribed as an insulin to carbohydrate ratio.The insulin to carbohydrate ratio represents how many grams of carbohydrate are covered or disposed of by 1 unit of insulin.
Generally, one unit of rapid-acting insulin will dispose of 12-15 grams of carbohydrate. This range can vary from 4-30 grams or more of carbohydrate depending on an individual’s sensitivity to insulin. Insulin sensitivity can vary according to the time of day, from person to person, and is affected by physical activity and stress.
Bolus – High blood sugar correction
(also known as insulin sensitivity factor)
The bolus dose for high blood sugar correction is defined as how much one unit of rapid-acting insulin will drop the blood sugar.
Generally, to correct a high blood sugar, one unit of insulin is needed to drop the blood glucose by 50 mg/dl. This drop in blood sugar can range from 15-100 mg/dl or more, depending on individual insulin sensitivities, and other circumstances.
Back to Afrezza: “a 4-unit cartridge reduces my glucose by 30 mg/dL in 90 minutes”), ajmc.s3.amazonaws.com/_media/_pdf/EBDM0916.pdf
What the dietian did not understand is afrezza keeps blood glucose from going high in the first place. The phase one, other fast acting insulins did not have that. That is why she/he can not figure it out.
What really helped us change how we use Afrezza this weekend was something Steve at VDEX told us, now that I think back, which I had forgotten to take seriously. He said son "could wait" to take Afrezza until the CGM rose to some BG level. We found that for Louis that level changes with each meal and other circunstances like activity level and time of day. If you start a meal at between 70-90 it is easier to see the first sign of a meal spike. For my son, that has been anywhere from 10 minutes to ONE HOUR after a meal. This is probably what frustrates Endos. They don't get to be the experts because everone is different. Everyoe with T1D has to learn to be their own expert! What he had been doing was dosing by the clock. All that Afrezza he took before the meal spike was just being cleared without having its maximum effect. So, again this new approach for us really depends on three things. 1) Starting with normal fasting blood glucose levels (which speaks to the importance of timely follow ups to return you to good FBG level) and 2)Waiting to be sure you see reliable signs of glucose uptake in the blood. This may mean waiting only until you see your BG change from 85 to 95! This may mean waiting more than 10 minutes! You have to get comfortable for what the meal spike uptrend line looks like. It also means that our old pattern of a 10 minute countdown is not ideal and tht ALWAYS having a CGM in is vital to maximize time in the 70-90 range. 3)The last is not to be afraid of the titration boogeyman. If you had a large meal, take an 8. If it is a very large meal you will need a follow up. If it is a medium meal you will probably still need an 8 but maybe not a follow up. If you have a meal less than about 10- 15 g carbs, take a 4 u, watch to make sure you end up below 100 after an hour and a half or so and take a follw up as needed. The think about follow ups you need to remember is that if you have food on board (you can usually determine this by the slope of the trendline). If yuo are over 160 and trending up you may need an 8u follow up. If you are at 160 and flat, you may only need a 4u. It gets a little tricky on the bubble...Endos dont like these tricky parts. Nobody does. But it is patently dishonest to pretend they don't exist on injecteds and do only on Afrezza. We need to call BS on this. I will tell you this, a low on Afrezza is nothing compared to injected. My son has not had a low on Afrezza that was below 58. And even that one did not feel as jagged nor persitent as a low on injected. |
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Post by sellhighdrinklow on Apr 4, 2017 8:30:17 GMT -5
I think the Afrezza dosing is more simple than subq dosing. Here are some benefits I can see, and I am not a diabetic.
Benefit of afrezza. You can take the dose while eating/drinking. Subq Type One are total to estimate the amount of carbs they are going to eat and dose prior to the meal. Many subq type one take the dose after eating. Additionally, type ones are taught how to sugar surf. Plan for insulin on board etc. Afrezza easier. if blood glucose raises higher the 130 a second dose.
Afrezza, dosing seems to be related to, starting blood glucose level. The size of the meal. The amount of fat in the meal. Matt said for lunch he had, "Toasted cheese sandwich." (Grille cheese) He said 8 units afrezza was enough to cover the toasted cheese sandwich. Take the afrezza 10 mins into the meal.
What is complicated is subq dosing. Bolus – Carbohydrate coverage
The bolus dose for food coverage is prescribed as an insulin to carbohydrate ratio.The insulin to carbohydrate ratio represents how many grams of carbohydrate are covered or disposed of by 1 unit of insulin.
Generally, one unit of rapid-acting insulin will dispose of 12-15 grams of carbohydrate. This range can vary from 4-30 grams or more of carbohydrate depending on an individual’s sensitivity to insulin. Insulin sensitivity can vary according to the time of day, from person to person, and is affected by physical activity and stress.
Bolus – High blood sugar correction
(also known as insulin sensitivity factor)
The bolus dose for high blood sugar correction is defined as how much one unit of rapid-acting insulin will drop the blood sugar.
Generally, to correct a high blood sugar, one unit of insulin is needed to drop the blood glucose by 50 mg/dl. This drop in blood sugar can range from 15-100 mg/dl or more, depending on individual insulin sensitivities, and other circumstances.
Back to Afrezza: “a 4-unit cartridge reduces my glucose by 30 mg/dL in 90 minutes”), ajmc.s3.amazonaws.com/_media/_pdf/EBDM0916.pdf
What the dietian did not understand is afrezza keeps blood glucose from going high in the first place. The phase one, other fast acting insulins did not have that. That is why she/he can not figure it out.
What really helped us change how we use Afrezza this weekend was something Steve at VDEX told us, now that I think back, which I had forgotten to take seriously. He said son "could wait" to take Afrezza until the CGM rose to some BG level. We found that for Louis that level changes with each meal and other circunstances like activity level and time of day. If you start a meal at between 70-90 it is easier to see the first sign of a meal spike. For my son, that has been anywhere from 10 minutes to ONE HOUR after a meal. This is probably what frustrates Endos. They don't get to be the experts because everone is different. Everyoe with T1D has to learn to be their own expert! What he had been doing was dosing by the clock. All that Afrezza he took before the meal spike was just being cleared without having its maximum effect. So, again this new approach for us really depends on three things. 1) Starting with normal fasting blood glucose levels (which speaks to the importance of timely follow ups to return you to good FBG level) and 2)Waiting to be sure you see reliable signs of glucose uptake in the blood. This may mean waiting only until you see your BG change from 85 to 95! This may mean waiting more than 10 minutes! You have to get comfortable for what the meal spike uptrend line looks like. It also means that our old pattern of a 10 minute countdown is not ideal and tht ALWAYS having a CGM in is vital to maximize time in the 70-90 range. 3)The last is not to be afraid of the titration boogeyman. If you had a large meal, take an 8. If it is a very large meal you will need a follow up. If it is a medium meal you will probably still need an 8 but maybe not a follow up. If you have a meal less than about 10- 15 g carbs, take a 4 u, watch to make sure you end up below 100 after an hour and a half or so and take a follw up as needed. The think about follow ups you need to remember is that if you have food on board (you can usually determine this by the slope of the trendline). If yuo are over 160 and trending up you may need an 8u follow up. If you are at 160 and flat, you may only need a 4u. It gets a little tricky on the bubble...Endos dont like these tricky parts. Nobody does. But it is patently dishonest to pretend they don't exist on injecteds and do only on Afrezza. We need to call BS on this. I will tell you this, a low on Afrezza is nothing compared to injected. My son has not had a low on Afrezza that was below 58. And even that one did not feel as jagged nor persitent as a low on injected. I concur w zuegirdor on his dosing/titration of Afrezza. I will add that a certain amount of physical activity (exercise) each day is a necessity to have Afrezza work optimally. The comment of lowering blood glucose 30- points w a 4-unit Afrezza (I forget where this came from and I don't have time to back track) in 90-minutes time is a bit of head scratcher. If my CGM has flat lined at 140 for an hour at say, 4:00pm, with no food on board in my system, a 4-unit cartridge would lower my blood sugar 30 points in 30 minutes w the likelihood of half a banana or similar needed to keep from going sub 80 in the next 30-minutes.. However, I generally exercise 5 out of 6 days which makes Afrezza more efficient. The 30 point drop in 90- minutes must be for a more sedentary lifestyle...? Again, everybody is different it seems w injected or Afrezza and titration but exercise is key to efficiency w any insulin. Agree 100% on lows w Afrezza is nothing compared to a low on Humalog. The need to raid my refrigerator has nothappened in the two years I've used Afrezza. It didn't happen often when on Humalog but it's never happened w Afrezza. |
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Post by zuegirdor on Apr 4, 2017 10:45:18 GMT -5
What really helped us change how we use Afrezza this weekend was something Steve at VDEX told us, now that I think back, which I had forgotten to take seriously. He said son "could wait" to take Afrezza until the CGM rose to some BG level. We found that for Louis that level changes with each meal and other circunstances like activity level and time of day. If you start a meal at between 70-90 it is easier to see the first sign of a meal spike. For my son, that has been anywhere from 10 minutes to ONE HOUR after a meal. This is probably what frustrates Endos. They don't get to be the experts because everone is different. Everyoe with T1D has to learn to be their own expert! What he had been doing was dosing by the clock. All that Afrezza he took before the meal spike was just being cleared without having its maximum effect. So, again this new approach for us really depends on three things. 1) Starting with normal fasting blood glucose levels (which speaks to the importance of timely follow ups to return you to good FBG level) and 2)Waiting to be sure you see reliable signs of glucose uptake in the blood. This may mean waiting only until you see your BG change from 85 to 95! This may mean waiting more than 10 minutes! You have to get comfortable for what the meal spike uptrend line looks like. It also means that our old pattern of a 10 minute countdown is not ideal and tht ALWAYS having a CGM in is vital to maximize time in the 70-90 range. 3)The last is not to be afraid of the titration boogeyman. If you had a large meal, take an 8. If it is a very large meal you will need a follow up. If it is a medium meal you will probably still need an 8 but maybe not a follow up. If you have a meal less than about 10- 15 g carbs, take a 4 u, watch to make sure you end up below 100 after an hour and a half or so and take a follw up as needed. The think about follow ups you need to remember is that if you have food on board (you can usually determine this by the slope of the trendline). If yuo are over 160 and trending up you may need an 8u follow up. If you are at 160 and flat, you may only need a 4u. It gets a little tricky on the bubble...Endos dont like these tricky parts. Nobody does. But it is patently dishonest to pretend they don't exist on injecteds and do only on Afrezza. We need to call BS on this. I will tell you this, a low on Afrezza is nothing compared to injected. My son has not had a low on Afrezza that was below 58. And even that one did not feel as jagged nor persitent as a low on injected. I concur w zuegirdor on his dosing/titration of Afrezza. I will add that a certain amount of physical activity (exercise) each day is a necessity to have Afrezza work optimally. The comment of lowering blood glucose 30- points w a 4-unit Afrezza (I forget where this came from and I don't have time to back track) in 90-minutes time is a bit of head scratcher. If my CGM has flat lined at 140 for an hour at say, 4:00pm, with no food on board in my system, a 4-unit cartridge would lower my blood sugar 30 points in 30 minutes w the likelihood of half a banana or similar needed to keep from going sub 80 in the next 30-minutes.. However, I generally exercise 5 out of 6 days which makes Afrezza more efficient. The 30 point drop in 90- minutes must be for a more sedentary lifestyle...? Again, everybody is different it seems w injected or Afrezza and titration but exercise is key to efficiency w any insulin. Agree 100% on lows w Afrezza is nothing compared to a low on Humalog. The need to raid my refrigerator has nothappened in the two years I've used Afrezza. It didn't happen often when on Humalog but it's never happened w Afrezza. I second what drinklow says about exercise and Afrezza. When we were on a ski trip recently, eating high carb (ADA guideline more or less) son seldom needed any followup. This weekend at a coffee stop near the end of our bike ride he ate a giant peanut butter "cookie" of at least 50 carbs (we don't bother counting anymore). We waited a FULL HOUR for the CGM to show an uptrend before he took an 8u Afrezza. He peaked around 130 followed by the gentle and now familiar parabolic drop into the 80's where he stayed until dinnertime, which also was a piece of cake, so to speak. If this kind of account cannot be translated into medical evidence or otherwise influence treatment and prescription decisions, then people who learn about these effects will soon learn to not trust their doctors. I wish the medical community could see how important it is to take these accounts as evidence of the value of this drug. No it is not a controlled study, but it is through such user experimentation that valuable information about drugs is added to and complements the trial data. Resistance to real world data is a GIANT RED FLAG that all should be concerned about. Clinging to old doctrine in the face of real world evidence is a sign that the medical, research, health care and pharmaceutical stewards of our health have forgotten how to do their jobs well. Patient accounts are the basis for everything we pay them to do. |
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Deleted
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Post by Deleted on Apr 4, 2017 11:00:04 GMT -5
If you guys think exercise is needed for optimal results this drug is in even worse shape then before.
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Post by zuegirdor on Apr 4, 2017 11:22:53 GMT -5
If you guys think exercise is needed for optimal results this drug is in even worse shape then before. It works the same way with RAA-need less if you exercise. Its just the way insulin works in the body- a physiologic fact. Your body too by the way. Except that diabetics have to pay for the insulin you make for free! Thus, insulin efficiency has a different flavor for them. Bitter might be the word for it? The difference is that as far as our experience, exercise cuts Afrezza needed by about half AND has much less tendency to make you go hypo. Son does not ever have to carb up on Afrezza like he did on RAA (though it might not be a bad idea in certain circumstances). I couldnt even tell you how much less RAA to take on exercise. that was always a big guessing game since it has about 3 hours to mess with you as compared with 1 and a half hour duration for Afrezza. You can worry about the risk MNKD stock price will slip, if that is helpful. But doubting Afrezza's superiority is a risk you don't need to take. |
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Post by lennymnkd on Apr 4, 2017 13:12:30 GMT -5
Zeugirdor / what role will CGM play in all of what seems like a lot of guessing with the exercising part of the equation...
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Tinkerbell
Researcher
Watcher of the Skies
Posts: 143
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Post by Tinkerbell on Apr 4, 2017 13:35:22 GMT -5
Oh boy.
The worst thing that can happen is when someone says something that is not true and a room full of people hear it and think they've just heard a new gospel. What was the name of the conference and where was it held?
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