| What inhaled insulin could do. There are many Type II diabetics on various oral medications who are either at maximum dose and/or are not getting adeqaute control. These people would benefit from geting additional, exterior supplied insulin as a supplement, and there are many who do using injecting insulin. But there are many who do not, mostly for "fear of the needle". With my own experience, I think they are wrong, but their fear is perfectly understandable.
Inhaled insulin can be a godsend to this particular group of patients. Since the insulin they would benefit by taking is only a supplement to their natural insulin, they do not have to exactly match the extra insulin to amount of food they are eating. Thus if the supplement insulin is 30% of what they need, then the body will make up the other 70%, and likewise if they take 74% of what is required. This type of dosage flexibility is something that inhaled insulin can meet.
Also since the supplementation of normal insulin is useful, but not required at every meal, the size of the inhaler becomes less of a problem. If it will be a problem, leave the thing home. Use it when it makes sense to.
However, whether inhaled or injected, insulin is a very potent and dangerous drug. Lows can kill. Users of inhaled insulin are almost as liable to hypo problems as insulin-dependant diabetics, if they take the drug too lightly.
All the precautions, training etc. that are part of injected insulin use will be reuired for the inhaled product.  | 
