Afrezza 4 Unit (60)- 8 Unit (30)(Inhalation)
胰岛素是一种通过降低血液中葡萄糖（糖）水平来起作用的激素。胰岛素吸入是fast-actinginsulin that starts to work about 15 minutes after inhalation, peaks in about 1 hour, and keeps working for 2 to 4 hours.
胰岛素吸入（通过口腔吸入）用于改善糖尿病成年人的血糖控制。
如果您有1型糖尿病，您还需要使用长效注射胰岛素。
如果您患有2型糖尿病，胰岛素吸入可能是您控制血糖所需的唯一药物。但是，您的医生可能会开出长效的注射胰岛素或您口中服用的糖尿病药物。
Insulin inhalation may also be used for purposes not listed in this medication guide.
uses
什么是Afrezza 4 Unit (60)- 8 Unit (30)(Inhalation)used for?
- 糖尿病2型
- Diabetes Mellitus
- 糖尿病类型1
- Autoimmune Disorder
- Diabetic Ketoacidosis (in DM Type I)
- 糖尿病性昏迷（在DM I型中）
- Diabetic Coma (in DM Type II)
- 糖尿病性酮症酸中毒（在DM II型中）
warnings
什么是the most important information I should know aboutAfrezza 4 Unit (60)- 8 Unit (30)(Inhalation)？
你不应该使用这种药如果你allergic to insulin, or if you are having an episode of hypoglycemia (low blood sugar).胰岛素吸入会导致突然或严重的肺部问题。如果有：
- 慢性肺部疾病，例如哮喘或慢性阻塞性肺疾病（COPD）；或者
- diabetic ketoacidosis (call your doctor for treatment).
Do not use insulin inhalation if you smoke or have recently quit smoking (within the past 6 months).
In studies with insulin inhalation, lung cancer occurred in a small number of people.Your doctor will perform lung function tests before and during your treatment with insulin inhalation.
Insulin inhalation is not approved for use by anyone younger than 18 years old.
Tell your doctor if you have ever had:
- 哮喘，COPD或其他呼吸问题；
- lung cancer;
- liver or kidney disease; or
- 如果您使用其他吸入药物。
Tell your doctor if you also take pioglitazone or rosiglitazone (sometimes contained in combinations with glimepiride or metformin).使用胰岛素时服用某些口服糖尿病药物可能会增加严重心脏问题的风险。
遵循您的医生有关使用此药物的指示if you are pregnant or you become pregnant.在怀孕期间，控制糖尿病非常重要，血糖含量可能会导致母亲和婴儿的并发症。
It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk.
副作用
What are the side effects ofAfrezza 4 Unit (60)- 8 Unit (30)(Inhalation)？
Get emergency medical help if you havesigns of insulin allergy:发红或肿胀，在给予胰岛素注射，整个身体上发痒的皮疹，呼吸困难，心跳加快，出汗，感觉像您可能昏昏欲睡或舌头或喉咙肿胀。
如果有的话，请立即致电医生：
- bronchospasm (wheezing, chest tightness, trouble breathing);
- 体液潴留--weight gain, swelling in your hands or feet, feeling short of breath; or
- 低钾--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling.
Common side effects may include:
- 低血糖；
- 咳嗽;或者
- sore throat.
这不是副作用的完整列表，其他可能发生。打电话给您的医生，征求有关副作用的医疗建议。您可以致电1-800-FDA-1088向FDA报告副作用。
Pregnancy & Breastfeeding
Can I takeAfrezza 4 Unit (60)- 8 Unit (30)(Inhalation)if I’m pregnant or breastfeeding?
遵循您的医生有关使用此药物的指示if you are pregnant or you become pregnant.在怀孕期间，控制糖尿病非常重要，血糖含量可能会导致母亲和婴儿的并发症。
It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk.
Interactions
我应该避免使用什么药物和食物Afrezza 4 Unit (60)- 8 Unit (30)(Inhalation)？
Do not smoke while using insulin inhalation. If you start smoking, you will have to stop using insulin inhalation and switch to another form of insulin to control your blood sugar.
Insulin can cause low blood sugar. Avoid driving or operating machinery until you know how this medicine will affect you.
避免喝酒或服用含酒精的药物。
剂量指南和提示
如何服用Afrezza 4 Unit (60)- 8 Unit (30)(Inhalation)？
UseAfrezza 4 Unit (60)- 8 Unit (30)(Inhalation)exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
按照您的处方标签上的所有指示，阅读所有药物指南或说明表。您的医生偶尔可能会改变您的剂量。完全按照指示使用药物。
Use insulin inhalation at the beginning of a meal.
胰岛素吸入是powdercontained 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.
每个胰岛素吸入粉末的蓝色墨盒等于4单位可注射的胰岛素。每个绿色墨盒等于8单位可注射的胰岛素。If your dose is more than 8 units, you will need to use more than one cartridge.始终使用最少数量的墨盒来获取正确的剂量。例如，如果您的剂量为12个单位，请使用一个4单位墨盒和一个8单位墨盒等于12个单位。对于16个单位的剂量，请使用两个8单位墨盒。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.一个未开封的铝箔包不耐火材料igerated must be used within 10 days.
当您打开箔纸包装时，仅删除剂量所需的墨盒数量，将其余的泡沫卡放回箔纸包装中，然后将其退还给冰箱。Leave the cartridges needed for your dose at room temperature for 10 minutes before using them。
打开箔纸包装后，您可以将其存储在室温下。After tearing open an individual blister-card strip, you must use the cartridges in that strip within 3 days.
您的血糖需要经常检查。您可能还需要每6到12个月进行一次肺功能测试。
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).
如果您患有严重的低血糖症，您的医生可能会开出胰高血糖素注射套件。确保您的家人或亲密的朋友知道如何在紧急情况下给您这种注射。
Also watch for signs of high blood sugar(hyperglycemia)例如口渴或排尿。
Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals.在更改剂量或药物时间表之前询问医生。
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.
如果您忘记在一顿饭开始时使用剂量，请在记住时立即使用药物。Do not一次使用两剂。