Note: In the video, Dr Peters demonstrates how to teach patients to use inhaled insulin.
Today I am going to give you a short demonstration on how to teach patients to use inhaled insulin. They need two things to do this: the inhaler device and the cartridges.
These cartridges are for demonstration use, so they are red. The cartridges your patients will be using are blue and green. The blue cartridges correspond to 4 units, and the green cartridges correspond to 8 units.
In advance, you are going to tell a patient how much inhaled insulin to take. Hopefully you have helped the patient figure out how many cartridges will be needed before a meal. If you are starting a patient on inhaled insulin who is not on prandial insulin, you are going to start with 4 units, in most cases. That is one blue cartridge.
It is very simple. They hold this inhaler device level and put the cartridge in. Then, they close this lever over it until it clicks, and now it's ready to go. They are not supposed to tip the device, because you don't want the powder to come out of the cartridge. They take off the guard.
Type 2 Diabetes Mellitus
Type 2 Diabetes Mellitus Clinical Practice Guidelines (SID/AMD, 2022)
Pediatric Type 2 Diabetes Mellitus
COMMENTARY
Inhaled Insulin: How to Teach Patients
Anne L. Peters, MD
DisclosuresMay 21, 2015
Note: In the video, Dr Peters demonstrates how to teach patients to use inhaled insulin.
Today I am going to give you a short demonstration on how to teach patients to use inhaled insulin. They need two things to do this: the inhaler device and the cartridges.
These cartridges are for demonstration use, so they are red. The cartridges your patients will be using are blue and green. The blue cartridges correspond to 4 units, and the green cartridges correspond to 8 units.
In advance, you are going to tell a patient how much inhaled insulin to take. Hopefully you have helped the patient figure out how many cartridges will be needed before a meal. If you are starting a patient on inhaled insulin who is not on prandial insulin, you are going to start with 4 units, in most cases. That is one blue cartridge.
It is very simple. They hold this inhaler device level and put the cartridge in. Then, they close this lever over it until it clicks, and now it's ready to go. They are not supposed to tip the device, because you don't want the powder to come out of the cartridge. They take off the guard.
Medscape Diabetes © 2015 WebMD, LLC
Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Inhaled Insulin: How to Teach Patients - Medscape - May 21, 2015.
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Authors and Disclosures
Authors and Disclosures
Author
Anne L. Peters, MD, CDE
Professor, Endocrinology, Keck School of Medicine, University of Southern California; Director, University of Southern California Clinical Diabetes Programs, Los Angeles, California
Disclosure: Anne L. Peters, MD, has disclosed the following relevant financial relationships:
Served as a consultant for: Amgen, Inc.; Abbott Diabetes Care; Becton, Dickinson and Company; Biodel; Bristol-Myers Squibb Company/AstraZeneca; Janssen Pharmaceuticals, Inc.; Lexicon; Eli Lilly and Company; Medtronic, Inc.; Novo Nordisk; OptumRx; sanofi-aventis; Takeda Pharmaceuticals North America, Inc.; Thermalin
Serve(d) as a speaker or a member of a speakers bureau for: Janssen Pharmaceuticals, Inc
Received a research grant from: Janssen Pharmaceuticals, Inc; Medtronic, Inc.
Received income in an amount equal to or greater than $250 from: Amgen, Inc.; Abbott Diabetes Care; Becton, Dickinson and Company; Biodel; Bristol-Myers Squibb Company/AstraZeneca; Janssen Pharmaceuticals, Inc.; Lexicon; Eli Lilly and Company; Medtronic, Inc.; Novo Nordisk; OptumRx; sanofi-aventis; Takeda Pharmaceuticals North America, Inc.; Thermalin; Medscape