Afrezza Lets Do Mealtime Resource Kit

!
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LETS D
RESOURCE KIT
Indications and Usage for Afrezza

(insulin human) Inhalation Powder
Prescription Afrezza is a man-made rapid acting

inhaled insulin breathed through your lungs and is
used to control high blood sugar in adults with type
1 and type 2 diabetes.
Limitations of Use:
Do not use Afrezza in place of long-acting insulin;
Afrezza must be used with a long-acting insulin in
patients with type 1 diabetes.
Do not use Afrezza to treat diabetic ketoacidosis.
It is not known if Afrezza is safe and effective for
use in people who smoke. Afrezza is not for use in
patients who smoke or who have recently stopped
smoking (less than 6 months).
It is not known if Afrezza is safe and effective in
children under 18 years of age.
Important Safety Information for Afrezza

WARNING: RISK OF SUDDEN LUNG PROBLEMS
(BRONCHOSPASM) IN PATIENTS WITH
LONG-TERM (CHRONIC) LUNG DISEASE
Sudden lung problems (acute bronchospasm)
have been seen in patients with asthma
and COPD (chronic obstructive pulmonary
disease) using Afrezza.
Afrezza is not to be used in patients
with long-term lung disease such as asthma
or COPD.
Before initiating Afrezza, your doctor
will perform a detailedmedical history,
physical examination, and a breathing test
(called spirometry) to identify potential
lung problems.
Please see full Important Safety Information for

Afrezza on pages 24-25, and full Prescribing
Information, including Boxed WARNING,
available at Afrezza.com from where you
downloaded this PDF.
WELCOME
Thank you for downloading the Lets Do Mealtime! Resource Kit. With this kit,
you are on your way to taking an active role in your diabetes management.
Controlling blood sugar at mealtime can be an important part of overall
diabetes management including diet and exercise. Afrezza (insulin human)
Inhalation Powder, the only inhaled insulin, is a mealtime insulin option for
adults with diabetes.
Afrezza works to lower blood sugar levels and is taken at the beginning of a
meal. In this kit, youll find facts about Afrezza, along with a Doctor Discussion
Guide to use at your next appointment to see if Afrezza could be right for you.
The Lets Do Mealtime! Resource Kit is a valuable resource to help manage
your mealtime diabetes needs.
Important Safety Information for Afrezza (insulin human) Inhalation Powder

Do not use Afrezza if you have problems with your lungs, such as asthma or COPD
(chronic obstructive pulmonary disease). Do not use Afrezza during a low blood sugar
reaction (hypoglycemia). If you are allergic to regular human insulin or to any of the ingredients
in Afrezza, do not use Afrezza as this may cause a significant and severe allergic reaction.
Please see full Important Safety Information for Afrezza on pages 24-25, and full
Prescribing Information, including Boxed WARNING, available at Afrezza.com from
where you downloaded this PDF.
2
CONTENTS
Insulin and Mealtime
05 Managing Blood Sugar Levels
Learn about mealtime blood sugar control and how Afrezza (insulin human)
Inhalation Powder, the only inhaled insulin, may help
Mealtime Planning
07 Meal Guide
Create healthy dishes with these steps
20 Grocery Shopping Tips
Create diabetes-friendly meals by finding the right ingredients for healthy meals
21 GoMeals App
Discover the app that helps you make healthy lifestyle choices
Talking With Your Doctor

23 Afrezza Doctor Discussion Guide
Questions to guide your conversation about your diabetes treatment plan
24 Full Prescribing Information for Afrezza, including Boxed WARNING

Before using Afrezza, it is important to tell your doctor about all your medical conditions,
including if you have a history of lung problems, if you smoke or have recently quit smoking,
if you are pregnant or plan to become pregnant, or if you are breast feeding or planning to
breast-feed. Tell your doctor about all other medicines and supplements you take.
3
Insulin and Mealtime

Your doctor will take a medical history, and do a physical exam and a breathing test (called spirometry)
to determine if you have lung problems. Patients with lung problems should not use Afrezza. If your
doctor finds you have lung problems, use of Afrezza may cause a severe asthma-like breathing problem.
Afrezza can reduce lung function, so your doctor will also want to test your breathing 6 months after
starting Afrezza, and then each year after that, even if you have no lung symptoms. More frequent
testing should be done if you have symptoms such as wheezing or coughing.
Please see full Important Safety Information for Afrezza on pages 24-25, and full Prescribing
Information, including Boxed WARNING, available at Afrezza.com from where you downloaded this PDF.
MANAGING BLOOD SUGAR LEVELS
Afrezza (insulin human) Inhalation Powder, the only

mealtime insulin you inhale
If diet, exercise, and your current diabetes medications are no longer giving you the
blood sugar control you need, or you are looking for a mealtime insulin option, it may be
time to ask your healthcare professional if Afrezza inhaled insulin could be right for you.
Afrezza at a glance:
Provides the mealtime insulin you may need to help improve your blood sugar control
Delivers insulin through a specially designed inhaler
Includes access to the Afrezza COACH patient support program
What happens at mealtime?
Between meals, your pancreas produces low amounts of insulin. At mealtime, larger amounts
of insulin are produced to absorb the blood sugar spikes you get from food.
As your diabetes
changes, you may
need mealtime
insulin to help
control blood
sugar spikes.
You may take oral medications as part of your overall diabetes treatment plan and still find
youre not achieving your blood sugar goal. This can be the case even if you already take a
long-acting insulin. In spite of your best efforts, you may need to add a mealtime insulin such as
Afrezza to help manage the blood sugar spikes you get after you eat.
Even if youre already on a mealtime insulin, Afrezzathe only inhaled insulinmay be an
option to discuss with your healthcare professional to help you manage your blood sugar.
Ask your healthcare professional if Afrezza

inhaled insulin may be right for you.
Important Safety Information for Afrezza
You must test your blood sugar levels while using insulin, such as Afrezza. Do not make any
changes to your dose or type of insulin without talking to your healthcare provider. Any change
of insulin should be made carefully and only under your doctors care.
5
Mealtime Planning

There are certain serious side effects that are associated with the use of Afrezza
Severe allergic reaction (including whole body reaction) is one of the serious side effects. Get medical
help right away if you have any signs or symptoms of a severe allergic reaction, including a rash over your
whole body, trouble breathing, a fast heartbeat, or sweating.
MEAL GUIDE
10 HELPFUL
THINGS TO
KNOW ABOUT
MEAL PLANNING

Low blood sugar (hypoglycemia) is one of the most common side effects of insulin, including
Afrezza, which can be serious and life-threatening. Common symptoms of hypoglycemia are
dizziness or light-headedness, sweating, confusion, headache, blurred vision, slurred speech,
shakiness, fast heartbeat, anxiety, irritability or mood change, or hunger. It may cause harm to
your heart or brain. It is important for you to understand how to manage the use of Afrezza,
and to understand how to lessen the risk of hypoglycemia events.
7
MEAL GUIDE
THE PLATE METHOD
The Plate Method features a very simple

setup when mealtime rolls around. It suggests
that half of your meal be non-starchy
vegetables, one quarter be grains, and
the other quarter be lean proteins for
breakfast, lunch, and dinner. Its a great
place to start if youre looking to live a
healthier lifestyle by balancing your nutrients
throughout the day!
/2 CUP
8 OZ GLASS
MILK
FRUIT
1. S
ERVE IT UP RIGHT.
Your health care team can show you how
many calories and carbs you should eat
at each meal based on your age, weight,
activity, and glucose level.
MEAT,
PROTEIN
NON-STARCHY
VEGETABLES
One carb serving is equal to 15 grams of

carbohydrates. Most men can set a goal
of 4-5 carb servings per meal, and most
women can aim for 3-4 carb servings per
meal, but ask your health care team what
your goal should be.
GRAINS,
STARCHES
By watching your serving sizes, it may

be easier to lose weight. Shedding any
necessary weight, following a healthy diet,
and exercising can help manage your
blood sugar levels.
9" PLATE

Lung cancer occurred in more people who were taking Afrezza compared to other diabetes
medications. There were too few cases to know if lung cancer was related to Afrezza. Tell your
doctor if you currently have lung cancer, have had it in the past, or if you have an increased risk
of developing lung cancer.
8
MEAL GUIDE
2. DECODING THE FOOD LABEL.

Its very useful to learn how to read food
labels and understand the numbers
on them.
So lets look at
a sample label.
Serving Size 1/4 Cup (30g)
Servings Per Container about 38
The % Daily Value
Amount Per Serving
represents the
Calories 200 Calories from Fat 150
percentage of
% Daily Value*
Total Fat 17g
26%
nutrients in one
Saturated Fat 2.5g
13%
serving of food
Trans Fat 0g
Cholesterol 0mg
0%
that the FDA
Sodium 120mg
5%
believes you
Total Carbohydrate 7g
2%
should consume
Dietary Fiber 2g
8%
Sugars 1g
on a daily basis
Protein 5g
(based on a
2000 calorie per day diet). Here are
some additional tips on how to read the
food label.
Nutrition Facts
3. SERVING SIZES.
The portion youre planning to eat may
not be the same as the serving size on
the label.
Nutrition Facts
So if the label
serving size is
1/4 cup and you
Amount Per Serving
Calories
200 Calories
150
1/2 cup,
youfrom
areFatgetting
twice the
eat
% Daily Value*
calories,
fat, and carbohydrates
listed on
Total Fat 17g
26%
theSaturated
label.Fat 2.5g
13%
Trans Fat 0g
Cholesterol 0mg
Sodium 120mg
Dietary Fiber 2g
Sugars 1g
0%
5%
2%
8%

Heart failure can occur if you are taking insulin together
with5gcertain medicines called TZDs
Protein
(thiazolidinediones), even if you have never had heart failure or other heart problems. If you
already have heart failure it may get worse while you take TZDs with Afrezza. Tell your doctor
if you have any new or worsening symptoms of heart failure including shortness of breath,
swelling of your ankles or feet or sudden weight gain. Your treatment with Afrezza and
TZDs may need to be changed or stopped if you have new or worsening heart failure.
9
MEAL GUIDE
Nutrition Facts
Nutrition Facts


Amount Per Serving
Amount Per Serving
% Daily Value*
Total Fat 17g

Saturated Fat 2.5g
% Daily Value*
26%
13%
Total Fat 17g

Saturated Fat 2.5g
Trans Fat 0g
4. C
Cholesterol
ARB COUNTING.
0mg
Trans Fat 0g
5. M
Cholesterol
AKE FRIENDS
WITH0%
FIBER.
0mg
Sodium
5%
A
meal120mg
plan high in dietary
fiber may
2%
help balance
Dietary Fiber 2g
8%
blood sugar
Sugars 1g
Proteinby
5g slowing the breakdown of carbs
levels
into sugar. Fruits, vegetables, whole
grains, and beans (such as pinto or
kidney) are all good sources of fiber,
which is an important part of any meal
plan. Its a good idea to eat about 25-30
Nutrition Facts
grams
of 1/4
fiber
day.
Serving Size
Cup each
(30g)
0%
Many people
with diabetes
count carbs
Protein 5g
because total
carb intake has the strongest impact
on post-meal blood sugar levels. The
total carbohydrates listed on the food
label includes sugar, fiber, and complex
carbohydrates.
Sodium 120mg
Dietary Fiber 2g
Sugars 1g
26%
13%
5%
2%
8%
F oods high in carbohydrates are rice,

pasta, starchy vegetables, and beans.
Fruits, milk, yogurt, and sweets are also
high in carbs. Again, its okay to eat
these foods, but moderation is key.
6. GAmount
OODPerFAT
VS. SATURATED FAT.
Serving
Calories
200
Calories
from Fat 150
Although fat is helpful
in slowing the
% Daily Value*
breakdown of
Total Fat 17g
26%
carbs into
Saturated Fat 2.5g
13%
sugar, its
Trans Fat 0g
Cholesterol 0mg
0%
important to
Sodium 120mg
5%
limit saturated
2%
fat,
trans
fat,
Eating less
Dietary
Fiber
2g and cholesterol.
8%
of Sugars
these1gfoods may help lower your risk of
Protein 5g
heart
disease. Some fat is okay in your
diet, so its a good idea to consider
unsaturated fat sources like avocados
and healthy nuts like almonds. And be
sure to eat reasonable servings of these
foods.
Its a good idea to spread your carb

intake out across your meals for the
day. Skipping carbs completely in the
morning and then overloading for dinner
can cause a huge spike in your blood
sugar levels.
Also, different carbs affect your blood
sugar in different ways some can have
a rapid effect on your levels, and others a
slower impact.

Get emergency help if you have trouble breathing, shortness of breath, fast heartbeat,
swelling of your face, tongue, or throat, sweating, extreme drowsiness, dizziness, or confusion.
10
MEAL GUIDE
7. M
ORE THAN JUST SERVING SIZES.
Heres a list of common foods you might
eat each day. It gives you an idea of the
number of calories and carbs in each food.

Figuring out how much a serving size is can
be a bit confusing. Below is a helpful trick to
help make sense of how much a cup and
ounce is.
HELPFUL TIP:
Restaurant portion sizes can sometimes
be double or triple a normal serving size.
When you first learn serving sizes, use a
measuring cup and spoon at home so
when you eat out you know how much
to enjoy and how much to doggy bag.
1 cup = about the size of a closed fist

3 oz of meat/fish = about the size of your palm
1 oz of nuts = about a handful
Nonstarchy
Vegetables
Broccoli
Calories
Carbs
33
7g
50
12g
Cauliflower
17
4g
Cauliflower
25
5g
26
6g
16
4g
22
5g
Iceberg Lettuce
2g
1 Cup
Onions
67
16g
1 Cup
18
4g
Tomato
32
7g
Zucchini
14
4g
(cooked)
Carrots
(raw)
(cooked)
(raw)
Starchy
Vegetables
Calories
Carbs
Corn
66
16g
McDonalds
French Fries
231
30g
1 Small Fries
Potato
79
18g
3 Oz
(cooked)
(baked)
Potato
(mashed with milk)
(cooked)
Cucumber
/2 Ear
(raw)
Green Beans
85
19g
(cooked)
(raw)
/2 Cup
Summer Squash
(cooked)
Wendys
Baked Potato
440
70g
Yam
79
19g
(cooked)
Collard Greens
Serving Size
1 Potato
1
/2 Cup
(cooked)
Serving Size
1
/2 Cup
2 Medium
Carrots
1
/2 Cup
1 Cup
1
/2 Cup
1 Cup
/2 Cup
/2 Cup
1 Tomato
1
/2 Cup

While using Afrezza do not drive or operate heavy machinery until you know how Afrezza
affects you. You should not drink alcohol or use other medicines that contain alcohol and you
should not smoke.
11
MEAL GUIDE
HELPFUL TIP:
It may not be so obvious at first but
fruits contain carbs, so keep that in mind.
Fruits
Calories
Carbs
Serving Size
Apple
54
15g
1 Small Apple
52
14g
Banana
72
19g
Blueberries
62
16g
Cantaloupe
56
14g
1 Cup
Dates
69
19g
3 Dates
Grapefruit
53
13g
Grapes
60
15g
17 Grapes
Orange
62
16g
1 Medium
Orange
Peach
57
14g
1 Medium
Peach
Pineapple
56
15g
Raisins
54
14g
2 Tbsps
Strawberries
57
13g
1 1/4 Cup
Watermelon
57
14g
1 1/4 Cup
Applesauce
(unsweetened)
/2 Cup
1 Extra Small
Banana
3
/4 Cup
/2 Grapefruit
/4 Cup

The most common side effects of Afrezza include low blood sugar (hypoglycemia), cough,
sore throat, headache, diarrhea, tiredness, and nausea.
12
MEAL GUIDE
Dairy
Calories
Carbs
Serving Size
Buttermilk
98
12g
1 Cup
90
13g
1 Cup
(low-fat)
Milk
(fat-free)
Milk 1%
Breads, Grains
and Cereals
Bagel
(white)
Bread
(wheat)
Bread
110
13g
(white)
1 Cup
Cereal
(all bran)
Milk 2%
130
12g
1 Cup
Cereal
(corn flakes)
Milk
(whole)
Sour Cream
(regular)
Sour Cream
(light)
Yogurt
(low-carb, plain)
Yogurt Fruited
(non-fat)
Carbs
Serving Size
78
15g
69
13g
1 Slice
67
12g
1 Slice
81
23g
76
18g
99
18g
/4 Large Bagel
/2 Cup
/4 Cup
150
12g
1 Cup
Crackers
62
1g
2 Tbsps
Grits
71
16g
3g
3 Tbsps
Pasta
62
13g
61
Popcorn
97
11g
3 Cups
71
15g
69
15g
150
22g
52
11g
1 Medium
Tortilla
112
19g
1 Medium
Tortilla
70
28g
(graham)
(butter, popped)
1 Container
Rice
(cooked, brown)
150
28g
Rice
1 Container
(cooked, white)
Beans and Peas
Calories
Carbs
Baked Beans
78
17g
Black Beans
114
20g
Lima Beans
99
18g
Peas
62
16g
Pinto Beans
122
22g
Refried Beans
100
17g
(frozen)
Calories
Rice
Serving Size
(fried)
Tortilla
/3 Cup
(corn)
Tortilla
/2 Cup
(flour)
3 Small
Rectangles
/2 Cup
/3 Cup
/3 Cup
/3 Cup
/3 Cup
/2 Cup
HELPFUL TIP:
Milk contains carbs so dont forget
to take that into account.
/2 Cup
/2 Cup
/2 Cup

If you are taking prescription medicine, you are encouraged to report negative side effects
of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1.800.FDA.1088.
13
MEAL GUIDE
Protein
Calories
Carbs
Serving Size
American
Cheese
68
2g
1 Oz
Cheddar Cheese
45
2g
1 Oz
Calories
Carbs
Serving Size
Almonds
48
2g
6 Almonds
85
0g
2 Slices
34
0g
1 Tsp
Canola Oil
40
0g
1 Tsp
Cashews
52
3g
6 Cashews
54
1g
1 1/2 Tbsps
51
1g
1 Tbsp
(dry roasted)
(processed)
(fat-free)
Fats
Bacon
Butter
(salted)
Chicken Wings
441
0g
6 Wings
Chicken
58
0g
1 Oz
30
0g
1 Oz
Cottage Cheese
1%
41
2g
Egg
74
1g
1 Egg
Ground Beef
57
0g
1 Oz
Margarine
24
0g
1 Tsp
70
6g
1 Hot Dog
Mayonnaise
33
0g
1 Tsp
57
0g
1 Oz
Olive Oil
40
0g
1 Tsp
83
0g
1 Oz
Olives
40
2g
8 Olives
61
0g
1 Oz
Peanut Butter
48
2g
1 1/2 Tbsps
40
3g
1 Oz
Pistachios
64
3g
16 Kernels
Taco Bell Soft

Shell Beef Taco
210
21g
3 1/2 Oz
69
2g
1 Tbsp
Tofu
80
2g
52
1g
4 Halves
Turkey Breast
38
0g
1 Oz
Veal
64
0g
1 Oz
(roasted)
Cod
(cooked)
(extra-lean, cooked)
Hot Dog
(beef/pork)
Pork
(baked or broiled)
Prime Rib
(roasted)
Salmon
(baked or broiled)
Sausage
(smoked)
(salted)
Cream Cheese
/4 Cup
(low-fat 2%)
Cream Cheese
(regular)
(black)
(roasted, salted)
Salad Dressing
Walnuts
(halves)
/2 Cup

reaction (hypoglycemia). If you are allergic to regular human insulin or to any of the ingredients
in Afrezza, do not use Afrezza as this may cause a significant and severe allergic reaction.
14
MEAL GUIDE
8. M
INDFUL EATING.
Many foods you cook or order every day
can be made healthier without losing taste
and without much effort. Try replacing
unhealthy food with something thats
better for you. But as always, be mindful
about your portion sizes.
When you go out to eat, look for key
healthy words on the menu such as
grilled, broiled, and roasted, instead
of items that may be fried in saturated
fats, or include unnecessary breading.
Also, be aware that many foods listed as
sugar free can still be loaded with carbs.
In other words, having some sugar free
gelatin as a snack can have a much
different effect on your body than sugar
free cake. Make sure to read your labels!

Before using Afrezza, it is important to tell your doctor about all your medical conditions,
including if you have a history of lung problems, if you smoke or have recently quit smoking,
if you are pregnant or plan to become pregnant, or if you are breast feeding or planning to
breast-feed. Tell your doctor about all other medicines and supplements you take.
15
MEAL GUIDE
MINDFUL EATING (CONT.).

Here are some healthy substitutions.
Instead of
Try
Candy Bar
10 Strawberries with 2 Tbsps

Low-Fat Chocolate
Whipped Topping
French Fries
1 Baked Potato with 1 Tbsp

Reduced-Fat Sour Cream
Fried Chicken
3 Oz Roasted Chicken
Fried Fish Sticks
3 Oz Broiled Salmon
Fried Rice
1
/2 Cup Brown Rice
with 1/4 Cup Black Beans
Pretzels
10 Whole Wheat Pretzels
Sugary Cereal
1 Cup Whole Grain Cereal

with Fresh Fruit
9. D
RINKS WITH FRIENDS.
Drinking alcohol lowers your blood sugar
levels sometimes with very little warning,
and that can be dangerous. Ask your
healthcare provider if its okay to drink
alcohol at all, and if it is, find out how to
manage your blood sugar levels when
drinking. If you decide to have a drink, be
sure to eat something, too. Never drink on
an empty stomach.

Your doctor will take a medical history, and do a physical exam and a breathing test
(called spirometry) to determine if you have lung problems. Patients with lung problems
should not use Afrezza. If your doctor finds you have lung problems, use of Afrezza may
cause a severe asthma-like breathing problem. Afrezza can reduce lung function, so your
doctor will also want to test your breathing 6 months after starting Afrezza, and then each
year after that, even if you have no lung symptoms. More frequent testing should be done
if you have symptoms such as wheezing or coughing.
16
MEAL GUIDE
10. MEALTIME IDEAS.

If youre looking to lose some weight,
reducing your serving sizes can sometimes
help. And if you lose weight, this can
also help lower your blood sugar levels,
as well as allow insulin to work more
efficiently in your body. A true win-win.
Here are some suggestions for a days
worth of tasty meals and snacks for
people who are counting carbs:
DINNER Broiled salmon, rice and vegetable

5 Oz Salmon Fillet
1 Tbsp Chopped Onions
2 Tbsps Canola Oil
1 Cup Brown Rice
1 Cup Steamed Broccoli
1 Cup Fat-Free Milk
BREAKFAST Eggs, toast and fruit

2 Scrambled Eggs
1 Slice Whole Wheat

Toast (w/ 1 Tbsp Low-Fat

Cream Cheese)
1/2 Grapefruit
SNACKS
1 Oz Pistachios or
1 Cup Low-Fat Fruited Yogurt or
1 Watermelon Slice
LUNCH
Turkey sandwich and snack
2 Slices Turkey
2 Slices Whole Wheat

Bread
2 Slices Tomato
1/2 Cup Shredded

Iceberg Lettuce
1 Slice American Cheese
1
Apple
1 Small Bag of Pretzels
HELPFUL TIP:
Consulting a registered dietitian is a great
way to help you with meal planning.

You must test your blood sugar levels while using insulin, such as Afrezza. Do not make any
changes to your dose or type of insulin without talking to your healthcare provider. Any change
of insulin should be made carefully and only under your doctors care.
17
MEAL GUIDE
TALK TO
& VISIT YOUR
HEALTH CARE
TEAM
REGULARLY.
BE
PHYSICALLY
ACTIVE.
QUICK RECAP
Remember to keep your portions under
control at mealtime.
YOU
MONITOR &
RECORD YOUR
BLOOD SUGAR
LEVELS.
T ry to avoid eating too many carbs, as they

affect your levels the most.
TAKE
YOUR MEDICINE
AS PRESCRIBED.
S tay away from saturated fat, cholesterol,

trans fat, and sodium whenever possible.
A
lcohol can significantly lower your blood
sugar levels, so be aware and never drink
on an empty stomach.
It sounds like a lot of work, but if you keep
making healthy changes to your diet, you
can do this!
PLAN
YOUR MEALS.
HELPFUL TIP:
Before you change your exercise routine
or diet, speak to your healthcare professional.
THE CIRCLE OF BETTER BLOOD

SUGAR CONTROL.
You are at the center of a successful
plan to improve your blood sugar
control. Reach out and embrace all
of these steps, and start to live the
healthy lifestyle you are capable of!

There are certain serious side effects that are associated with the use of Afrezza
Severe allergic reaction (including whole body reaction) is one of the serious side effects.
Get medical help right away if you have any signs or symptoms of a severe allergic reaction,
including a rash over your whole body, trouble breathing, a fast heartbeat, or sweating.
18
MEAL GUIDE
TO LEARN MORE ABOUT

EATING HEALTHY WITH DIABETES
There are plenty of online resources for
people with diabetes. Some of them also
contain advice on recipes, carb counting
and making smart meal plans.
www.diabetes.org (American Diabetes Association)
www.diabeteseducator.org (American Association
of Diabetes Educators)
www.eatright.org (American Dietetic Association)
www.dlife.com (dLife)
www.ndep.nih.gov (National Diabetes
Education Program)
www.tcoyd.com (Taking Control of Your Diabetes)

Low blood sugar (hypoglycemia) is one of the most common side effects of insulin, including
Afrezza, which can be serious and life-threatening. Common symptoms of hypoglycemia are
dizziness or light-headedness, sweating, confusion, headache, blurred vision, slurred speech,
shakiness, fast heartbeat, anxiety, irritability or mood change, or hunger. It may cause harm to
your heart or brain. It is important for you to understand how to manage the use of Afrezza,
and to understand how to lessen the risk of hypoglycemia events.
19
GROCERY SHOPPING TIPS

Lung cancer occurred in more people who were taking Afrezza compared to other diabetes
medications. There were too few cases to know if lung cancer was related to Afrezza. Tell your
doctor if you currently have lung cancer, have had it in the past, or if you have an increased risk
of developing lung cancer.
20
GO MEALS APP
DOWNLOAD GOMEALS
FOR IPHONE, IPOD
TOUCH, AND IPAD:
1. Go to the Apple
App Store
2. Search for GoMeals
3. Download the
GoMeals app
DOWNLOAD GOMEALS
FOR ANDROID
1. Go to the Google
Play store
2. Search for GoMeals
3. Download the
GoMeals app
GoMeals was developed to help you get the information you need to make healthy choices
at home or on the go. Weve upgraded GoMeals to include features for eating healthy, staying
active and tracking your blood glucose levels.
With GoMeals, you can:
Find facts about the foods you favor
Watch the calories burn
Keep your BG numbers handy
Eat healthy when you eat out

Heart failure can occur if you are taking insulin together with certain medicines called TZDs
(thiazolidinediones), even if you have never had heart failure or other heart problems. If you
already have heart failure it may get worse while you take TZDs with Afrezza. Tell your doctor
if you have any new or worsening symptoms of heart failure including shortness of breath,
swelling of your ankles or feet or sudden weight gain. Your treatment with Afrezza and
TZDs may need to be changed or stopped if you have new or worsening heart failure.
21
Talking With Your Doctor

Get emergency help if you have trouble breathing, shortness of breath, fast heartbeat, swelling of your
face, tongue, or throat, sweating, extreme drowsiness, dizziness, or confusion.
DOCTOR DISCUSSION GUIDE
Start a conversation about Afrezza (insulin human)

Inhalation Powder
Here are some questions to help you have a discussion about Afrezza with your
healthcare professional. This conversation will help you and your doctor decide
whether Afrezza may be an option for you.
I have type 2 diabetes, and Im thinking of adding insulin.
Have I done everything I can to reach my blood sugar goals?
Would adding insulin help me achieve better blood sugar control?
Why cant I control my blood sugar with my current treatment plan?
I take a long-acting insulin.

Why am I still experiencing high blood sugar levels with my
current long-acting insulin?
Will Afrezza replace my long-acting insulin?
Would adding Afrezza insulin to my diabetes treatment plan
be the right choice?
Will I need to adjust my long-acting insulin dose if I add Afrezza?
I already take a mealtime insulin.
What are my options for taking mealtime insulin?
Is inhaled insulin the right option for me?
Will I need to adjust my current medications if I start using Afrezza?
How often will I have to check my blood sugar with Afrezza?
People portrayed are not actual patients.
While using Afrezza do not drive or operate heavy machinery until you know how Afrezza
affects you. You should not drink alcohol or use other medicines that contain alcohol and you
should not smoke.
23

WARNING: RISK OF SUDDEN LUNG PROBLEMS (BRONCHOSPASM) IN PATIENTS WITH
LONG-TERM (CHRONIC) LUNG DISEASE
Sudden lung problems (acute bronchospasm) have been seen in patients with
asthma and COPD (chronic obstructive pulmonary disease) using Afrezza.
Afrezza is not to be used in patients with long-term lung disease such as asthma
or COPD.
Before initiating Afrezza, your doctor will perform a detailed medical history,
physical examination, and a breathing test (called spirometry) to identify potential
lung problems
reaction (hypoglycemia). If you are allergic to regular human insulin or to any of the
ingredients in Afrezza, do not use Afrezza as this may cause a significant and severe
allergic reaction.
Before using Afrezza, it is important to tell your doctor about all your medical
conditions, including if you have a history of lung problems, if you smoke or have
recently quit smoking, if you are pregnant or plan to become pregnant, or if you are
breast feeding or planning to breast-feed. Tell your doctor about all other medicines
and supplements you take.
Your doctor will take a medical history, and do a physical exam and a breathing test
(called spirometry) to determine if you have lung problems. Patients with lung problems
should not use Afrezza. If your doctor finds you have lung problems, use of Afrezza
may cause a severe asthma-like breathing problem. Afrezza can reduce lung function,
so your doctor will also want to test your breathing 6 months after starting Afrezza,
and then each year after that, even if you have no lung symptoms. More frequent
testing should be done if you have symptoms such as wheezing or coughing.
You must test your blood sugar levels while using insulin, such as Afrezza. Do not make
any changes to your dose or type of insulin without talking to your healthcare provider.
Any change of insulin should be made carefully and only under your doctors care.
There are certain serious side effects that are associated with the
use of Afrezza
Severe allergic reaction (including whole body reaction) is one of the serious side
effects. Get medical help right away if you have any signs or symptoms of a severe
allergic reaction, including a rash over your whole body, trouble breathing, a fast
heartbeat, or sweating.
24
Low blood sugar (hypoglycemia) is one of the most common side effects of insulin,
including Afrezza, which can be serious and life-threatening. Common symptoms
of hypoglycemia are dizziness or light-headedness, sweating, confusion, headache,
blurred vision, slurred speech, shakiness, fast heartbeat, anxiety, irritability or mood
change, or hunger. It may cause harm to your heart or brain. It is important for you to
understand how to manage the use of Afrezza, and to understand how to lessen the
risk of hypoglycemia events.
Lung cancer occurred in more people who were taking Afrezza compared to other
diabetes medications. There were too few cases to know if lung cancer was related to
Afrezza. Tell your doctor if you currently have lung cancer, have had it in the past,
or if you have an increased risk of developing lung cancer.
Heart failure can occur if you are taking insulin together with certain medicines called
TZDs (thiazolidinediones), even if you have never had heart failure or other heart
problems. If you already have heart failure it may get worse while you take TZDs with
Afrezza. Tell your doctor if you have any new or worsening symptoms of heart failure
including shortness of breath, swelling of your ankles or feet or sudden weight gain.
Your treatment with Afrezza and TZDs may need to be changed or stopped if you
have new or worsening heart failure.
Get emergency help if you have trouble breathing, shortness of breath, fast heartbeat,
swelling of your face, tongue, or throat, sweating, extreme drowsiness, dizziness,
or confusion.
While using Afrezza do not drive or operate heavy machinery until you know how
Afrezza affects you. You should not drink alcohol or use other medicines that contain
alcohol and you should not smoke.
The most common side effects of Afrezza include low blood sugar (hypoglycemia),
cough, sore throat, headache, diarrhea, tiredness, and nausea.
If you are taking prescription medicine, you are encouraged to report negative side
effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1.800.
FDA.1088.
Please see full Prescribing Information for Afrezza, including Boxed WARNING ,
available at Afrezza.com from where you downloaded this PDF.
Afrezza is a registered trademark owned by MannKind Corporation.
Manufactured by: MannKind Corporation, Danbury, CT 06810
Distributed by: sanofi-aventis U.S. LLC, Bridgewater, NJ 08807 A SANOFI COMPANY
2005-2015 sanofi-aventis U.S. LLC. All rights reserved. US.HUM.15.05.048
25
GoMeals is a registered trademark of sanofi-aventis U.S. LLC, iPhone, iPod, iPod touch, iPad
and iTunes are trademarks of Apple Inc., registered in the U.S. and other countries. Android
is a trademark of Google Inc. Use of this trademark is subject to Google Permissions. All other
trademarks are the property of their respective owners.
Afrezza is a registered trademark owned by MannKind Corporation.
Manufactured by: MannKind Corporation, Danbury, CT 06810
Distributed by: sanofi-aventis U.S. LLC, Bridgewater, NJ 08807 A SANOFI COMPANY
2005-2015 sanofi-aventis U.S. LLC. All rights reserved. US.HUM.15.05.048
Please see full Prescribing Information, including Boxed WARNING available at Afrezza.com
from where you downloaded this PDF.
Sanofi

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Indications and Usage for Afrezza

Prescription Afrezza is a man-made rapid acting

Important Safety Information for Afrezza

(insulin human) Inhalation Powder

Please see full Important Safety Information for

Important Safety Information for Afrezza (insulin human) Inhalation Powder

(insulin human) Inhalation Powder

Talking With Your Doctor

Important Safety Information for Afrezza (insulin human) Inhalation Powder

(insulin human) Inhalation Powder

Insulin and Mealtime

Important Safety Information for Afrezza (insulin human) Inhalation Powder

MANAGING BLOOD SUGAR LEVELS

Afrezza (insulin human) Inhalation Powder, the only

Ask your healthcare professional if Afrezza

(insulin human) Inhalation Powder

Important Safety Information for Afrezza (insulin human) Inhalation Powder

Important Safety Information for Afrezza (insulin human) Inhalation Powder

(insulin human) Inhalation Powder

THE PLATE METHOD

The Plate Method features a very simple

One carb serving is equal to 15 grams of

By watching your serving sizes, it may

Important Safety Information for Afrezza (insulin human) Inhalation Powder

(insulin human) Inhalation Powder

2. DECODING THE FOOD LABEL.

Important Safety Information for Afrezza (insulin human) Inhalation Powder

(insulin human) Inhalation Powder

Serving Size 1/4 Cup (30g)

Serving Size 1/4 Cup (30g)

Amount Per Serving

Amount Per Serving

Calories 200 Calories from Fat 150

Calories 200 Calories from Fat 150

Total Fat 17g

Total Fat 17g

F oods high in carbohydrates are rice,

Servings Per Container about 38

Its a good idea to spread your carb

Important Safety Information for Afrezza (insulin human) Inhalation Powder

(insulin human) Inhalation Powder

1 cup = about the size of a closed fist

Important Safety Information for Afrezza (insulin human) Inhalation Powder

(insulin human) Inhalation Powder

Important Safety Information for Afrezza (insulin human) Inhalation Powder

(insulin human) Inhalation Powder

Beans and Peas

Important Safety Information for Afrezza (insulin human) Inhalation Powder

(insulin human) Inhalation Powder

Taco Bell Soft

Important Safety Information for Afrezza (insulin human) Inhalation Powder

(insulin human) Inhalation Powder

Important Safety Information for Afrezza (insulin human) Inhalation Powder

(insulin human) Inhalation Powder

MINDFUL EATING (CONT.).

10 Strawberries with 2 Tbsps

1 Baked Potato with 1 Tbsp

Fried Fish Sticks

10 Whole Wheat Pretzels

1 Cup Whole Grain Cereal

Important Safety Information for Afrezza (insulin human) Inhalation Powder

(insulin human) Inhalation Powder

10. MEALTIME IDEAS.

One carb serving is equal to 15 grams of

By watching your serving sizes, it may

F oods high in carbohydrates are rice,

Its a good idea to spread your carb

T ry to avoid eating too many carbs, as they

S tay away from saturated fat, cholesterol,