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NICE smart move on inhaled insulin

From Dr Matthew Kiln

London SE21

The ruling by NICE on inhaled insulin (News, 20 April) is absolutely correct. It is sensible and should help GPs from being pushed to waste potentially vast amounts of money on something that is very expensive, has no clear benefit, and no logical reason for using it.

The view quoted that we should prescribe it because 'word is out on the street' is laughable.

The ruling helps us not to be pressured 'by word on the street' (which has mainly been created by the drug firm marketing it). There is virtually no indication for ever prescribing inhaled insulin in its current format. Well done NICE.

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