Insulin aspart

Let's just go real fast on what the cost is going to be because it's not that much different than what it was last year.

This year, the deductible, if you have insulin and you're taking whatever insulin it is and Novolog or Humulin or I don't know all of them, but there's a whole bunch of different insulins.

It's a $35 copay before the deductible.

So you can meet your insulin $35 every month.

So I'm on a long acting insulin and I use a fast acting insulin.

So I'm using Traceeba as my long acting and I'm using Lemjeb because it works faster than Humalong and Novolog.

Not that much faster, but it is faster.

So those are the two insulins I use.

When we talk about that stuff, if you have a blood sugar spike and then you're taking insulin for that blood sugar spike, it's almost too late.

And this is why.

It's almost too late, and we'll talk about this more when we talk about pre-bolusing, but it's almost too late because you have to remember that the activation of that insulin, if you're on Humalog, Novolog as an example, it takes 15 to 20 minutes, maybe sometimes 25 minutes, depending on how insulin resistant you are, If you're really insulin resistant, it might take close to 30 minutes for that blood sugar to get through the skin, get into the tissue or get through the tissue, get in a bloodstream and attach itself to the cell to start bringing your blood sugar down.

That whole process takes about 15 to 20 minutes.

Moving from NPH to synthetic insulin, that's faster.

Moving from NPH to Humalog and Novolog and Lemgev and Fiast, that's incredible.

And that's just going to keep on happening.

We're just going to keep getting better and better and better and better.

It's equally appropriate for any form of mealtime insulin and also down the road, long-acting so-called basal insulins.

But we are fully compatible with insulin Lyspro, insulin Aspart, their biosimilar versions, ultra-rapid acting insulins.

You know, the insulin industry has done a phenomenal job in modifying the core insulin molecule so that it's either longer acting, which is very helpful and really life-changing for people who need a 24-hour acting insulin in the background, both type 1 patients and type 2s, but also making insulins increasingly rapid acting to be better able to mimic the time action profile of pancreatic insulin.

What has lagged behind, and we think we're bridging that gap really aggressively now, is changing where those insulins work with the HDV system.

A 70-year-old diabetic with ED, and my body does not produce semen.

Well, for several years I was on oil medication, which I had a lot of ups and downs, but a new doctor gave me, I'm taking 26 units of Lannis as a base every day and five units plus of Novolog.

Okay, well, first and foremost, we're dealing with diabetes.

You're dealing with ED or erectile dysfunction.

So 28 units.

I take Novorapid.

Mm-hmm.

I'm on dapagliflozin.

I know quite a few bodybuilders that use a basal insulin like Lantus or Basalgar or Traceeba, I think is the other one, to help take some pressure off the pancreas so the pancreas can deal with the mealtime spikes that come with it.

Now, you're not going to get the same mealtime benefit that you do from, say, using something like a rapid-acting insulin like Novolog or Humalog, where you can deal with the huge bolus of carbohydrates and bring your blood glucose back down.

The basal insulin is not going to have a peak like a rapid-acting insulin, but in theory should take some pressure off your pancreas and allow it to have the resources necessary to deal with those meals.

Now...

We're gonna put her on Luncheve," which burned.

"So, hey, Fiasp.

We're gonna put her on Fiasp.

She's not gonna ever have to pre-bolus." Still to this day, she's never pre-bolused in her life.

[laughs]

... well, first of all, kudos to her, and you for raising her, and I'm sure that husband did something, but doesn't sound like much.

[laughs]

And, um, and, but, but Omnipod 5, Fiasp in Omnipod 5, a 5 A1C without pre-bolusing?

And then if I don't get to do my jog in the morning because the kids' schedule juggling, I'm gonna probably end up doing my jog somewhere between 4:00 and 7:00 PM, and I'm gonna do the same thing of trying to make sure that I don't have, um, a meal bolus on board.

So that means if I was taking an injection of insulin, like Novolog, Humalog, that I would need at least three hours between the meal bolus and the exercise to have minimal insulin on board for that exercise.

Because I use mostly Afrezza for my meals, I have more flexibility.

The smaller Afrezza dose has the biggest impact for about an hour.