How should I take insulin inhalation?
Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.
Use insulin inhalation at the beginning of a meal.
Insulin inhalation is a powder contained inside a plastic cartridge that fits into the inhaler device supplied with this medicine. Only one cartridge can be placed in the inhaler device at one time. You may use each inhaler device for up to 15 days before replacing it with a new one.
Each blue cartridge of insulin inhalation powder is equal to 4 units of injectable insulin. Each green cartridge is equal to 8 units of injectable insulin. If your dose is more than 8 units, you will need to use more than one cartridge. Always use the least number of cartridges possible to get your correct dose. For example, if your dose is 12 units, use one 4-unit cartridge and one 8-unit cartridge to equal 12 units. For a dose of 16 units, use two 8-unit cartridges. Follow the dosing chart provided with this medicine to learn about combining cartridges to get the correct dose.
Insulin inhalation cartridges are packaged in a plastic blister card that is sealed inside a foil package. Store each unopened foil package in a refrigerator. An unopened foil package that is not refrigerated must be used within 10 days.
When you open the foil package, remove only the number of cartridges needed for your dose, put the rest of the blister card back into the foil package and return it to the refrigerator. Leave the cartridges needed for your dose at room temperature for 10 minutes before using them.
Once you have opened a foil package, you may store it at room temperature. After tearing open an individual blister-card strip, you must use the cartridges in that strip within 3 days.
Your blood sugar will need to be checked often. You may also need to have lung function tests every 6 to 12 months.
You may have low blood sugar (hypoglycemia) and feel very hungry, dizzy, irritable, confused, anxious, or shaky. To quickly treat hypoglycemia, eat or drink a fast-acting source of sugar (fruit juice, hard candy, crackers, raisins, or non-diet soda).
Your doctor may prescribe a glucagon injection kit in case you have severe hypoglycemia. Be sure your family or close friends know how to give you this injection in an emergency.
Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination.
Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your dose or medication schedule.
Insulin is only part of a treatment program that may also include diet, exercise, weight control, regular blood sugar testing, and special medical care. Follow your doctor's instructions very closely.
In case of emergency, wear or carry medical identification to let others know you have diabetes.