Mealtime Blood Sugar Spikes Are Annoying!
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- Опубліковано 9 лип 2024
- Please see Full Prescribing Information, including BOXED WARNING, Medication Guide, and Instructions for Use on afrezza.com/Safety/.
If you live with insulin-dependent diabetes, as I do, you might also have been told to pay attention to post-meal blood sugar spikes. Those spikes are incredibly annoying and can be very hard to manage, so in this video, you’ll find the 3 things I do to try and minimize blood sugar spikes after meals.
00:00 Introduction
1:14 Pre-bolus to minimize blood sugar spikes
2:24 Ultra rapid insulin to minimize blood sugar spikes
3:39 Understand what I eat to minimize blood sugar spikes
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Paid spokesperson for MannKind. This is my personal experience using Afrezza (insulin human) Inhalation Powder. Results may vary.
Important Safety Information
Afrezza® (insulin human) Inhalation Powder may cause serious side effects, including sudden lung problems (in a study, some AFREZZA-treated patients with asthma, whose asthma medication was temporarily withheld, experienced sudden lung problems). Other serious side effects may include low blood sugar, decreased lung function, lung cancer, diabetic ketoacidosis, severe allergic reaction, low potassium in your blood, and heart failure. Some of these side effects may lead to death. The most common side effects are low blood sugar, cough, and sore throat. Don’t use AFREZZA if you have long-term lung problems such as asthma or chronic obstructive pulmonary disease (COPD) or are allergic to any of the ingredients in AFREZZA. Don’t use AFREZZA if you are having an episode of low blood sugar. Before starting AFREZZA, your healthcare provider will give you a breathing test to check how your lungs are working. AFREZZA is not for use to treat diabetic ketoacidosis. AFREZZA must be used with basal insulin in people who have type 1 diabetes. AFREZZA is not for use in people who smoke or have recently stopped smoking (less than 6 months). AFREZZA is used to control high blood sugar in adults with diabetes mellitus. Talk to your healthcare provider about all your medical conditions and medications.
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DISCLAIMER: I’m not a medical professional, never stop your current treatment without consulting with your doctor.
Law of Small Numbers
One of the most groundbreaking ideas Dr. Bernstein has put forward is the “law of small numbers,” as he calls it.
It’s nearly impossible to count carbs and deliver perfect meal-time boluses - type 1 diabetes is just too unpredictable, carbohydrate counts are too inaccurate, and even insulin absorption in the body is inconsistent. The law of small numbers explains that the fewer carbs you eat, the less insulin you’ll need to take, and the more predictable your blood sugar management will be. Little mistakes will result in little blood sugar changes.
I know 15-20 minutes is the standard timing for pre-bolusing, but I've ended up doing closer to 45 minutes beforehand, and it works so much better. I use an insulin pump though, so it's different absorption timing obviously. I wish Afrezza were easier to get a hold of, i.e. covered by more insurance plans. It seems like such a useful product. I really wanted to try it, but it's not covered at all by my plan. They pay 100% of my 3-day disposable insulin pumps though, go figure.
Thank you for watching and sharing your experience
T1D here. I have to avoid carbs with dinner (which I eat at 5pm), and I need to fast after 5:30pm with a post-dinner walk in order to get my blood sugars down by bedtime. Frustrating, but it works for me
Afrezza would be ideal when eating out when meal timing is unknown. Unfortunately, I don't think it is available in Australia or many other countries yet. I pre-bolus anywhere from 10 to 30 minutes, depending on glucose readings before a meal and type of meal. Works for the most part but I still get spikes from time to time. That's all part of the fun and games with T1D though!
Fun and games indeed 🙂 Thank you for sharing and hopefully it will be available in Australia in the future
Every meal is a project!
An insulin inhaler would solve so many of my issues, lol. Will definitely look into this. ❤❤ Thank you.
Thanks again Christel! Going to aks my doc about afrezza. Timing is so important bolusing - "to bolus or not to bolus" 😊 Just tonight I had a nice dinner out and bolused (6 humaog) for dessert, and then we decided to have ice cream at home instead, and of course I forgot and dropped down into 60s! UGH! 😵💫 I only once a day usually and my BG goes crazy if I eat too much food at once. good stuff! ❤💯
Thank you for the comment. It’s such a balance for sure. Glad you found the video interesting
Thank you, that was very interesting and informative.
Glad you enjoyed it!
Thank you!
You're welcome!
I know my insurance wouldn’t cover it but I wonder what the price would be to have on hand in addition to pens, as others have said for spontaneous outings. I might look up Walmart prices. I see my Endo in Sept and I might remember to ask her about it. Very interesting. Thank you for your thoughts on it.
My insurance is currently not covering it. But the manufacturer, MannKind, can help out. Just call them and they can offer a direct purchase program. You may be eligible to get Afrezza® for as little as $99/month (that’s what I pay per prescription).
For more information, contact our patient support team at Afrezza Assist 1-844-323-7399, Monday-Friday 8 am-8 pm ET.
Hey hope ur doin well today i have a question i was on insulatard for 20 years 28 units i switched to lantus but every night for the past month i hypo even tho i take as little as 5 units should i take it at morning instead if night does that weird hypos can b cause of cortisole level especially it happend only during the night and skyrocket the rest of the day
You could try switching it to a different time of day. Or ask your doctor about splitting your dose. I use Levemir (very similar) and I take a small dose before bed and a larger dose in the morning
Well, thank you kindly for this info. I'm just a big ol' fan of rice dishes, but darn if they don't make my sugar levels jump higher than a cat on a hot tin roof! Looks like it's time for me to sit down with my endo and have a good chat 'bout startin' a proper bolus therapy on that fancy smart InPen! And how 'bout you - are you a fan of that Fiasp yourself?
I use Novolog in my InPen. It works quite well for me
QQQ I got my Afrezza delivered yesterday but I have now cut my meals to early dinner time [ unless on vacation] and I know directions say to keep ins cold in fridge I got 4 unit so with Humalog compared how high should my insulin be before I take it? the Company did not give me an answer???? PS how do you travel best with it
It should be stored in the same way as injected insulin. So the open package you can bring them with you, but the others you should keep refrigerated. Only your medical team can give you dosing recommendations which might be why they didn't give you a straight answer. This resource can help you convert your doses from injected to inhaled, and might be helpful for you until you talk to your medical team
afrezzahcp.com/dosing/
Sometimes I inject myself and I forget to eat the breakfast because im late from work then after 1 hour or less my blood sugar go down quickly, please help me, if i could inject myself after took my breakfast it will be okay, or NOT
Ideally, you'd want to pre-bolus (inject ~15 min before eating), but if that doesn't work for you you could discuss other options with your doctor. Maybe one of the faster-acting insulins, like Afrezza that I mention in the video, could be an option. Or maybe your doctor won't think post-mealtime highs are an issue for you, it might depend on your medical history.
@@DiabetesStrong what happen if i take my injection then something happen in that 15 min window and forget to eat my breakfast. What will happen to my blood sugar
Hi, I just want to ask. Do you spend a lot of time outdoors, in the sun? You look like you do :D I ask because spending time at the beach works wonders for me (I'm also type 1 for 20+ years, basically my entire life), it is very weird I don't need to inject anything during those, say, 6 hours of sun and beach :D I never even bring my phone to read CGM readings, nor my Humalog/Lyumjev insulin. I can eat high carb foods and still end up low at the end of the day because of the basal insulin which is also on the low side (23 units of Tresiba per day). It's like I'm cured for that moment :D Does anyone else notice this?
I know some see a drop and some (I most often experience this) see a bit of an increase. I think the increase often comes from dehydration and if people go on a beach vacation, inactivity. But it’s great that you’ve realized these trends, makes it a little easier to manage when you know what to expect
This is my first video of yours i watched, i subscribed. But i have questions. Do you have a pump? If you dont have a pump can you manage diabetes good without it. I was diagnosed in February and im only 14. Please answer
I do not use an insulin pump. There are pros and cons to all ways of managing blood sugar and for me, insulin pens are a better option. I have a few videos where I describe how I manage as well as my diagnosis story. I link to a few here so you can check those out:
My diagnosis story: ua-cam.com/video/6Q5fy8usWBg/v-deo.html
A day in my life: ua-cam.com/video/MmUF4QspDEM/v-deo.html
Why I don’t use a pump: ua-cam.com/video/3dFRDTi4FvE/v-deo.html
@DiabetesStrong I'm a dairy farmer and don't want another thing attached to me that I could knock off or make me uncomfortable. Sorry for all the questions but it makes me feel better getting them off my chest. Afrezza is that pretty new and could it replace the need for pens? How many units of long acting insulin do you use?how often do you get low? Do you think there will be a cure for diabetes I see vertex is in clinical trials and that there is a man cured. Thanks
@@nathandukelow1863 Afrezza is only a mealtime insulin so you'd still need to inject a long-acting insulin daily. How much we each need is determined by a lot of factors including weight, diet, and activity level so it can't really be compared. My frequency of lows depends, but it's not daily. If my routine changes (which it does often) I'll have more fluctuations. As for a cure, they just FDA cleared a stemcell cure (still needing an immune suppressant, so not really a variable option yet) but that makes me hopeful they'll come up with something in my lifetime
Always a pleasure to see one of your videos. Thankfully the pharmaceutical companies have done more than just project vaccine BS on us and actually made something better for Type I diabetics. Hope it all works well for you.
@dougbarrett8094 Vaccine b.s? As an immunocompromised person, vaccines saved my life.