Hello everyone,
I have not wrote here but a week ago that I am testing the inhaled insulin Affzza and although I know that it is not sold out of the US I wanted to tell you my impressions about it in case someone is interested in:
1) It is really fast reaching its maximum power at 15 minutes of inhaling.Since I am really using it I have not had any peak in the first hour and a half after having eaten (later yes, see point 5)
2) Being so fast, it would have to inhale it as soon as you start eating or even up to 20 or 30 minutes later in the case of slow absorption meals
3) When starting to act so quickly also stops working long before Novorapid.In my case, I can say that at the time and a half of having inhaled it, I have nothing left in the body.
4) This last point has made my hypoglycemia between meals very markedly reduced.
5) The negative point that it is so fast is that many times at 2 hours of having eaten you may need another dose of Afrrezza to avoid 1 peak, especially if it is a meal with enough fat and/or protein.In these cases, having a bomb, what I do is put 1 unit or that of novorapid when you have eaten to counteract this climb.
6) On the dose issue, it comes in doses of 4, 8 or 12 units but cannot really be compared to the units of "traditional" insulin.The Affzza units are much more flexible.From my personal experience, 4u of Afrrezza equals a dose of up to 4 novorapid units, this means that if for 1 food I had put 1, 2, 3 or 4
Novorapid units with AFREZZA INHALO 1 4U cartridge.If I had put 5 units (or more) and step to the 8u cartridge.Although it is hard to believe it does not give me 1 hiccups if I inhale 4U for a meal that requires me 1U of novorapid.
7) For corrections, this insulin is simply fantastic, if I am in 200 4u de Affra
In general I am quite happy with this insulin, it seems to me that even if it is only for meals away from home (for not having to put the insulin at least 15 minutes before) and for the
fast corrections is very worth it