[zby]

How do you take it? I imagine it would be ideal to quickly beat hyperglycemia when you underestimate a meal bolus. But I don't see it replacing a pump (or pens), because it would be difficult to: measure it exactly and keep supplying it continuously.

[zippergz]

I know people who quite successfully use it in place of a pump, along with a single basal shot from a pen each day. It’s just a small inhaler with disposable plastic dose dispensers in various numbers of units. It because it works so quickly it is not a problem to measure accurately. If you use too little, you’ll quickly know and can take another. But you are correct that it could not replace basal insulin. I suppose you also could use it as a supplement to a pump and there are probably people who do it, but not in my circle.

[danudey]

The only inhaled insulin I can find is Afrezza, and WebMD says:

> It's not for diabetes emergencies such as diabetic ketoacidosis (DKA).

So probably not great for this. Seems more like something you take during a meal to keep from going hyperglycemic and not something you take when you're having problems.

https://www.webmd.com/diabetes/inhaled-insulin

[oaktrout]

This in itself isn't really a mark against Afrezza. DKA is traditionally managed in a hospital setting. I believe WebMD is directed at the consumer and they won't be recommending any insulin for the management of DKA.

[sithlord]

You don't treat DKA with insulin, at home at least. DKA usually means you have become super dehydrated, and likely all your blood work will be way out of whack.

To be fair, I have only gone into DKA once, when I was diagnosed, so it was certainly an extreme - but, I would guess most people who end up in DKA also have some kind of extreme.