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New developments

* An inhaler is being developed that delivers insulin powder deep into the lungs where it can easily be absorbed into the bloodstream.The effect would be instant and it would be painless. This is currently undergoing Phase III clinical trials in the US and Scotland. * An oral spray using liquid insulin is also under development. This would be rapidly absorbed by the lining of the mouth and enter the bloodstream.

* An oral spray using liquid insulin is also under development. This would be rapidly absorbed by the lining of the mouth and enter the bloodstream.

* Non-invasive ways of measuring blood glucose levels are also being developed, including patches on the skin or devices that use infra-red light or lasers

* Glucowatch is the most promising measuring device and is already available in the UK. It is worn as a wris****ch and measures blood glucose from interstitial fluid, the fluid which fills blisters, which can be measured without piercing the skin. However, finger-prick tests are still required every 12 hours to calibrate the device.

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