ABSTRACT
There is no doubt that diabetes is an extensive worldwide problem. Several studies have demonstrated that reducing levels of glycosylated hemoglobin (HbA1c) decreases the risk of developing diabetic complications. Insulin is the most effective glucose-lowering agent available. However, several barriers prevent the initiation and intensification of insulin therapy in patients with diabetes. For example, some studies have shown a delay of up to 5 years in over 50% of patients with type 2 diabetes uncontrolled with oral antidiabetic agents. Alternative noninvasive options for the administration of insulin, such as inhaled human insulin (Exubera; insulin human [rDNA origin] Inhalation Powder) are likely to increase patient acceptance of insulin, improve glycemic control and thus reduce the overall burden of diabetes.