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Below 70? The 15-15 rule

All forDiabetes

Inhaled Insulin Rivals Conventional Insulin Therapy for Type 2 Diabetes

All for DiabetesPublished June 30, 20101 min read

Key points

  • The similarity in benefit comes with 2 important advantages ??t going to need a lot of long-term scrutiny, like any other new drug.”
  • American Diabetes Association (ADA) 70th Scientific Sessions: Presented June 26, 2010.
  • Lorber has reported financial relationships with Merck & Co, Inc., Novo Nordisk Inc, Biodel Inc., GlaxoSmithKline, Johnson & Johnson, and Roche Pharmaceuticals.
  • Kirkman has disclosed no relevant financial relationships.

In patients with type 2 diabetes, inhaled insulin before each meal, plus insulin glargine before bedtime, is just as effective at controlling blood sugar as conventional twice-daily premixed biaspart insulin therapy, according to new research presented here at the American Diabetes Association (ADA) 70th Scientific Sessions and published in the June 26 issue of the Lancet.

The similarity in benefit comes with 2 important advantages ??t going to need a lot of long-term scrutiny, like any other new drug.”

This study was funded by MannKind. Dr. Lorber has reported financial relationships with Merck & Co, Inc., Novo Nordisk Inc, Biodel Inc., GlaxoSmithKline, Johnson & Johnson, and Roche Pharmaceuticals. Dr. Kirkman has disclosed no relevant financial relationships.

Lancet. 2010;375:2244-2253.

American Diabetes Association (ADA) 70th Scientific Sessions: Presented June 26, 2010.

Fran Lowry

The content on this site is for information only and is not a substitute for professional medical advice, diagnosis or treatment. If someone with diabetes is confused, unconscious or cannot swallow, call 911 or your local emergency number.

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Low blood sugar

Below 70? Use the 15-15 rule.

Hypoglycemia can happen to anyone who takes insulin or certain diabetes tablets. Treat it straight away. If someone is confused, unconscious or can’t swallow, don’t give food or drink: use glucagon if it is available and call 911 or your local emergency number.

Call 911

Common signs

  • Shaking or trembling
  • Sweating, clammy skin
  • Fast heartbeat
  • Dizziness
  • Hunger
  • Confusion or irritability
  1. STEP 115 gTake fast-acting sugar4 oz (½ cup) of juice or regular soda, 4 glucose tablets, or 1 tablespoon of sugar or honey.
  2. STEP 215 minWait, then recheckStill below 70 mg/dL? Take another 15 g and check again.
  3. STEP 3SnackOnce back in rangeEat a meal or snack if your next one is more than an hour away.

Based on American Diabetes Association guidance. Your care team may give you a different plan, for example for children or after severe lows. Outside the US, call your local emergency number.