FrancophonIA/ELRC3.0 huggingface dataset:
English: This means that it will start to lower your blood sugar 10-20 minutes after you take it, with a maximum effect at 2 hours and the effect will last for around 6 hours.
Slovenian: To pomeni, da bo začel zniževati vaš krvni sladkor 10-20 minut po tistem, ko ga vzamete, učinek bo največji po 2 urah in bo trajal okrog 6 ur.
English: This may constitute a risk in situations where these abilities are of special importance (e.g. driving a car or operating machinery).
Slovenian: To lahko predstavlja nevarnost v situacijah, v katerih sta ti sposobnosti še posebno pomembni (npr. upravljanje avtomobila ali uporaba strojev).
English: This change occurs within the first months of treatment and usually doesn't worsen as you continue treatment.
Slovenian: Ta sprememba se pojavi v prvih mesecih zdravljenja in se med nadaljnjim zdravljenjem ne slabša.
English: Pharmacotherapeutic group: Medicinal products used in diabetes, ATC code: A10AF01
Slovenian: Farmakoterapevtska skupina: zdravila za zdravljenje diabetesa, oznaka ATC: A10AF01
English: If the hypoglycaemia comes back again take another 10 to 20 gram sugar.
Slovenian: Če se hipoglikemija ponovi, spet pojejte 10 do 20 gramov sladkorja.
English: The Marketing Authorisation Holder must implement nationally an educational plan, prior to marketing, and as agreed with the competent authorities in the Member States.
Slovenian: ¾ Imetnik dovoljenja za promet z zdravilom mora pred trženjem na nacionalni ravni uvesti izobraževalni načrt, kot je dogovorjeno s pristojnimi organi v državah članicah.
English: The majority (> 95%) of these events was reported as mild to moderate.
Slovenian: Za večino (> 95 %) teh dogodkov so poročali, da so bili blagi do zmerni.
English: Immediately take about 10 to 20 gram sugar, e.g. as glucose, sugar cubes or a sugar-sweetened drink.
Slovenian: Nemudoma zaužijte okrog 10 do 20 gramov sladkorja, npr. v obliki glukoze, sladkornih kock ali s sladkorjem oslajene pijače.
English: Severe allergic reactions to insulin are very rare.
Slovenian: Hude alergijske reakcije na insulin so zelo redke.
English: Careful control of your diabetes, and prevention of hypoglycaemia, is important for the health of your baby.
Slovenian: Natančna urejenost vašega diabetesa in preprečevanje hipoglikemij sta pomembna za zdravje vašega otroka.
English: Body weight (kg) X 0.15 mg/kg = Total Daily Dose (mg).
Slovenian: telesna masa (kg) X 0,15 mg/kg = celotni dnevni odmerek (mg).
English: In order to be able to take action immediately, patients should carry glucose with them at all times.
Slovenian: Da bi lahko bolniki nemudoma ukrepali, morajo vedno nositi s seboj glukozo.
English: Produced by recombinant DNA technology in Escherichia coli.
Slovenian: Izdelano s tehnologijo rekombinantne DNA v bakteriji Escherichia coli.
English: congestive heart failure, pregnancy, children and adolescent
Slovenian: kongestivnem srčnem popuščanju, nosečnosti, otrocih in mladostnikih.
English: In such a case, you may develop severe hypoglycaemia (and even lose consciousness) before you are aware of the problem.
Slovenian: V takem primeru se utegne pri vas razviti težka hipoglikemija (in celo izguba zavesti), še preden se težave zaveste.
English: An updated Risk Management Plan, as per the CHMP Guideline on Risk Management Systems for medicinal products for human use, should be submitted at the same time as the PSURs, within 60 days of an important (Pharmacovigilance or Risk minimisation) milestone being reached or when the results of a study becoming available or at the request of the Competent authority.
Slovenian: Posodobljeni načrt za obvladovanje tveganj (po smernicah CHMP o sistemih za obvladovanje tveganj pri zdravilih za uporabo v humani medicini) mora biti predložen hkrati s PSURi, in sicer v 60 dneh po doseganju kakšnega pomembnega mejnika (farmakovigilanca ali minimizacija tveganja), kadar postanejo dosegljivi rezultati kakšne študije ali na zahtevo pristojnega organa.
English: There were too few cases to determine whether the emergence of these events is related to Exubera.
Slovenian: Primerov je bilo premalo, da bi bilo mogoče ugotoviti, ali je njihovo pojavljanje povezano z zdravilom EXUBERA.
English: If necessary, more frequent blood sugar testing can help to identify mild hypoglycaemic episodes that might otherwise be overlooked.
Slovenian: Če je potrebno, lahko pogostejše testiranje krvnega sladkorja pomaga prepoznati blage hipoglikemične epizode, ki bi jih utegnili drugače spregledati.
English: While you are not confident about recognising your warning symptoms, avoid situations (e.g. driving a car) in which you or others would be put at risk by hypoglycaemia.
Slovenian: Dokler se ne zanesete na to, da boste prepoznali svoje opozorilne simptome, se izogibajte situacijam (npr. vožnji avtomobila), v katerih bi lahko hipoglikemija vas ali druge spravila v nevarnost.
English: N=Number of Subjects at Baseline, week 52, week 104, week +6, week +12.
Slovenian: N=število bolnikov v izhodišču, v 52. tednu, v 104. tednu, tednu +6, tednu +12.
English: No clinical significance of these antibodies has been identified.
Slovenian: Ugotovili niso nikakršnega kliničnega pomena teh protiteles.
English: Glucose must also be given intravenously, if the patient does not respond to glucagon within 10 to 15 minutes.
Slovenian: Glukozo moramo dati intravensko tudi takrat, ko bolnik v 10 do 15 minutah ne reagira na glukagon.
English: Pull out the blue handle as far as it will go.
Slovenian: Povlecite modro ročico navzven, kolikor daleč gre.
English: Patients should then hold their breath for 5 seconds and exhale normally.
Slovenian: Bolniki naj nato zadržijo dih za 5 sekund in normalno izdihnejo.
English: As with other insulins, generalised allergic reactions may occur very rarely.
Slovenian: Podobno kot pri drugih insulinih se generalizirane alergijske reakcije pojavljajo zelo redko.
English: Ensure that no water droplets remain, and then close the mouthpiece.
Slovenian: Prepričajte se, da ni več vodnih kapljic, nato ustnik zaprite.
English: Insulin requirements may be altered during intercurrent conditions such as illness, emotional
Slovenian: Potrebe po insulinu se lahko spremenijo med interkurentnimi stanji, na primer boleznimi, čustvenimi
English: Be sure that the word “EXUBERA” at the top faces you.
Slovenian: Prepričajte se, da je beseda “EXUBERA” na vrhu obrnjena proti vam.
English: GmbH & Co. KG, Heinrich Mack Strasse 35, 89257, Illertissen, Germany.
Slovenian: KG, Heinrich Mack Strasse 35, 89257, Illertissen,
English: The total daily dose should be divided into three pre-meal doses.
Slovenian: Celotni dnevni odmerek je treba razdeliti v tri odmerke, ki se dajejo pred obroki.
English: When used with other antidiabetic agents, the dose of each agent should be carefully adjusted to determine the optimal dose required to achieve the desired pharmacological effect.
Slovenian: Kadar to zdravilo uporabljamo skupaj z drugimi antidiabetiki, je treba odmerek vsakega zdravila skrbno prilagoditi, da določite optimalni odmerek, ki je potreben za dosego želenega farmakološkega
English: Severe hypoglycaemic attacks, especially if recurrent, may lead to neurological damage.
Slovenian: Težki napadi hipoglikemije, posebno še, če se ponavljajo, lahko povzročijo nevrološke okvare.
English: EXUBERA is available in the following pack sizes:
Slovenian: Zdravilo EXUBERA je na voljo v naslednjih velikostih pakiranja:
English: Some medicines cause the blood sugar level to fall, some cause it to rise, others may have both effects, depending on the situation.
Slovenian: Nekatera zdravila povzročijo zvišanje, druga pa znižanje koncentracije krvnega sladkorja; tretja imajo lahko oba učinka, odvisno od situacije.
English: It is important to follow these steps so that your insulin inhaler stays clean and works properly.
Slovenian: Pomembno je, da se ravnate po teh navodilih, tako da bo insulinski inhalator vedno čist in bo pravilno deloval.
English: The MAH commits to performing the studies and additional pharmacovigilance activities detailed in the Pharmacovigilance Plan.
Slovenian: Imetnik dovoljenja za promet se zavezuje, da bo izvedel študije in dodatne farmakovigilančne dejavnosti, razčlenjene v načrtu farmakovigilance.
English: After first opening the foil overwrap: 3 months.
Slovenian: Po prvem odprtju prekrivne folije: 3 mesece.
English: These changes are usually mild and go away with time.
Slovenian: Te spremembe so navadno blage in sčasoma izginejo.
English: If at 6 months a decline of < 15% FEV1 is observed, spirometry should be repeated at one year and then annually.
Slovenian: Če je po 6 mesecih opazno zmanjšanje FEV1 < 15 %, je treba spirometrijo ponoviti čez eno leto in nato enkrat na leto.
English: Please discuss with your doctor what you should do if you were to take too much or too little EXUBERA, or if you miss a dose, so that you know what to do.
Slovenian: Pogovorite se s svojim zdravnikom o tem, kaj je treba storiti, če vzamete preveč ali premalo zdravila EXUBERA ali če pozabite vzeti en odmerek, tako da boste v takšnem primeru vedeli, kaj morate storiti.
English: In clinical studies of up to two years duration, there was no accelerated decline beyond 3-6 months.
Slovenian: V kliničnih študijah, ki so trajale do dve leti dolgo, od 3. do 6. meseca naprej ni bilo pospešenega zmanjševanja.
English: It is advisable to test your blood sugar immediately after taking glucose to check that you really have
Slovenian: Priporočljivo je, da si takoj po zaužitju glukoze testirate krvni sladkor, da preverite, ali imate res
English: If you are not able to swallow or if you are unconscious, you will require an injection of glucose or glucagon (a medicine which increases blood sugar).
Slovenian: Če ne morete požirati ali če ste nezavestni, boste potrebovali injekcijo glukoze ali glukagona (zdravilo, ki zviša krvni sladkor).
English: More severe episodes, with coma, seizure, or neurological impairment may be treated with intramuscular/subcutaneous glucagon (0.5 to 1 mg) or concentrated intravenous glucose.
Slovenian: Težje epizode s komo, napadi krčev ali nevrološkimi okvarami lahko zdravimo z intramuskularnim/subkutanim glukagonom (0,5 do 1 mg) ali koncentrirano intravensko glukozo.
English: If you are taking EXUBERA, do not smoke (see section 2, “Do not take
Slovenian: Če uporabljate zdravilo EXUBERA, ne smete kaditi (glejte poglavje 2 “Ne jemljite
English: All patients who were diagnosed with lung cancer had a prior history of cigarette smoking.
Slovenian: Vsi bolniki, pri katerih so odkrili raka pljuč, so imeli anamnezo kajenja cigaret.
English: The first symptoms which alert you to hypoglycaemia (“warning symptoms”) may change, be weaker
Slovenian: Prvi simptomi, ki vas opozorijo na hipoglikemijo (“opozorilni simptomi”), se lahko spremenijo,
English: Symptoms of hypoglycaemia usually occur suddenly.
Slovenian: Simptomi hipoglikemije se navadno pojavijo nenadoma.
English: Note: In the overall clinical program, including uncontrolled extension studies, there were two reports of pleural effusion in which a treatment-related effect could not be excluded.
Slovenian: Opomba: v celotnem kliničnem programu (vključno z nekontroliranimi podaljšanji študij) so zabeležili dva primera plevralnega izliva, pri katerih ni bilo mogoče izključiti povezanosti s terapijo.
English: Before travelling between different time zones, the patient should be advised to consult the doctor, since this may mean that the patient has to take insulin and meals at different times.
Slovenian: Pred potovanjem skozi različne časovne pasove je treba bolniku svetovati, naj se posvetuje z zdravnikom, ker utegne to pomeniti, da bo moral bolnik jemati insulin in uživati dnevne obroke ob
English: Please keep this possible problem in mind in all situations where you might put yourself and others at risk (e.g. driving a car or operating machinery).
Slovenian: Ne pozabite na možnost te težave v vsakem položaju, ko bi lahko spravili v nevarnost sebe ali druge (na primer pri upravljanju avtomobila ali uporabi strojev).
English: Smoking greatly increases the rate and extent of absorption of inhaled human insulin (Cmax about 3 to 5 times and AUC about 2 to 3 times higher) and therefore could increase the risk of hypoglycaemia
Slovenian: Kajenje močno poveča delež in obseg absorpcije humanega insulina za inhaliranje (Cmax je za 3- do 5krat večja, AUC za 2- do 3- krat večja) in bi zato lahko povečalo tveganje za hipoglikemijo (glejte
English: If you notice an immediate and severe worsening of your breathing soon after taking a dose of EXUBERA, you should stop taking EXUBERA and tell your doctor immediately or go to the casualty
Slovenian: Če opazite takojšnje in izrazito poslabšanje dihanja kmalu po tistem, ko ste vzeli odmerek zdravila EXUBERA, morate zdravilo prenehati jemati in to nemudoma povedati svojemu zdravniku ali oditi na
English: Transferring a patient to another type or brand of insulin should be done under strict medical supervision as this may result in a change in dosage.
Slovenian: Prehod bolnika z ene vrste insulina na drugo mora potekati pod strogim zdravniškim nadzorstvom, kajti posledica je lahko spremenjeno odmerjanje.
English: Stomach pain, fast and deep breathing, sleepiness or even loss of consciousness may be signs of a serious condition (ketoacidosis) resulting from lack of insulin.
Slovenian: Bolečine v želodcu, pospešeno in globoko dihanje, zaspanost ali celo izguba zavesti so lahko znaki težkega stanja (ketoacidoze), ki ga povzroči pomanjkanje insulina.
English: Re-administration of EXUBERA requires a careful risk evaluation, and may only be done under close medical monitoring with appropriate clinical facilities.
Slovenian: Pri ponovni uporabi zdravila EXUBERA je potrebno skrbno ovrednotenje tveganja, zdravilo se sme ponovno uvesti samo ob strogem zdravniškem nadzoru in ustreznih medicinskih kapacitetah.
English: Please speak to your doctor immediately if you take EXUBERA and resume smoking or have smoked in the last 6 months
Slovenian: Prosimo, da se nemudoma pogovorite s svojim zdravnikom, če jemljete zdravilo EXUBERA in ste spet začeli kaditi ali ste kadili v zadnjih 6 mesecih pred začetkom jemanja zdravila
English: EXUBERA is often given in combination with other diabetes treatments.
Slovenian: Zdravilo EXUBERA se pogosto daje v kombinaciji z drugimi zdravili za zdravljenje sladkorne
English: Other drugs that may alter pulmonary absorption or lung permeability have not been studied.
Slovenian: Drugih zdravil, ki utegnejo zmanjšati absorpcijo skozi pljuča ali pljučno permeabilnost, niso proučevali.
English: In children (6-11 years) and adolescents (12-17 years) with type 1 diabetes, inhaled human insulin was absorbed more rapidly than fast-acting human insulin.
Slovenian: Pri otrocih (6-11 let) in mladostnikih (12-17 let) z diabetesom tipa 1 se je humani insulin za inhaliranje absorbiral hitreje kot hitrodelujoči humani insulin.
English: The starting and subsequent dosage (dose and timings) should be determined individually by the physician and adjusted according to the patient's individual response and requirements (e.g. diet, physical activity and life-style).
Slovenian: Začetno in nadaljne odmerjanje (odmerek in časovni razpored jemanja zdravila) mora zdravnik določiti za vsakega bolnika posebej in ju prilagoditi bolnikovemu individualnemu odzivu in potrebam (npr. dieti, telesni aktivnosti in načinu življenja).
English: The cough is usually mild and often gets better over time.
Slovenian: Kašelj je navadno blag in se sčasoma pogosto ublaži.
English: Do not use EXUBERA if you notice that a blister is not properly sealed or damaged.
Slovenian: Ne uporabite zdravila EXUBERA, če opazite, da pretisni omot ni pravilno zaprt ali da je poškodovan.
English: Press the grey button and pull out the insulin
Slovenian: Pritisnite sivi gumb in izvlecite insulinski pretisni
English: Then eat something that has a long-acting effect in raising your blood sugar (e.g. bread).
Slovenian: Nato pojejte nekaj, kar vam bo za dalj časa zvišalo krvni sladkor (npr. kruh).
English: Body System Very Common
Slovenian: Telesni sistem zelo pogosti pogosti občasni
English: FEV1 reversibility
Slovenian: Reverzibilnost FEV1
English: Please see the end of this section for important further information about hypoglycaemia and its treatment.
Slovenian: Prosimo glejte zadnji del tega poglavja, kjer boste našli pomembne nadaljnje informacije o hipoglikemiji in njenem zdravljenju.
English: If you smoke, the amount of insulin your body absorbs will be increased and you will have a greater risk of hypoglycaemia.
Slovenian: Če kadite, se bo povečala količina insulina, ki se absorbira v telesu, in tako bo večja tudi nevarnost hipoglikemije.
English: Turn the mouthpiece to the open position.
Slovenian: Zasukajte ustnik v odprti položaj.
English: Test your blood sugar level and your urine for ketones as soon as any such symptoms of hyperglycaemia occur as described above.
Slovenian: Testirajte si raven krvnega sladkorja in urin na ketone, takoj ko se pojavi eden ali več zgoraj opisanih simptomov hiperglikemije.
English: If the washed chamber is not dry prior to taking your next dose, use your spare chamber.
Slovenian: Če se oprana komora do takrat, ko morate vzeti naslednji odmerek, ne posuši, uporabite rezervno
English: A consistent and standard inhalation technique should be employed to ensure both optimal and consistent drug
Slovenian: Uporabljati morajo dosledno in standardno tehniko inhaliranja, s čimer bodo zagotovili tako optimalni kot vedno enak vnos zdravila.
English: As with other insulins, the patient's ability to concentrate and react may be impaired as a result of hypoglycaemia.
Slovenian: Podobno kot pri drugih insulinih se lahko bolnikova sposobnost za koncentriranje in odzivanje zaradi hipoglikemije zmanjša.
English: Although these antibodies may be produced, they do not have any effect on your blood glucose control.
Slovenian: Ta protitelesa sicer lahko nastajajo, vendar nimajo nikakršnega vpliva na uravnavanje vaše ravni glukoze v krvi.
English: Comparator N=145, 143, 125, 129, 120.
Slovenian: Primerjano zdravilo N=145, 143, 125, 129, 120.
English: There are no fixed rules for insulin dosage.
Slovenian: Za odmerjanje insulina ni trdnih pravil.
English: The percentage of patients who achieved a goal of HbA1c < 7.0% was comparable between the treatment groups.
Slovenian: Odstotni delež bolnikov, ki so dosegli ciljno vrednost HbA1c < 7,0 %, je bil primerljiv pri obeh zdravljenih skupinah.
English: This cough decreased over time.
Slovenian: Ta kašelj je sčasoma postajal manj izrazit.
English: Make sure that you can use the inhaler properly as this could affect the
Slovenian: Vsekakor poskrbite, da boste znali inhalator pravilno uporabljati, ker bi to lahko vplivalo na količino insulina, ki
English: Following oral inhalation of a single dose of human insulin approximately 30% of the total blister content remains in the blister or device, 20% is deposited in the oropharynx, 10% in the conducting airways and 40% reaches the deep lung.
Slovenian: Po peroralni inhalaciji posamičnega odmerka humanega insulina ostane približno 30 % celotne vsebine pretisnega omota v omotu ali v napravi, 20 % se ga odloži v orofarinksu, 10 % v prehodnih dihalnih poteh, 40 % pa doseže globoke predele pljuč.
English: After the cloud appears, immediately turn the mouthpiece around.
Slovenian: Ko se pojavi oblaček, nemudoma zasukajte ustnik, ki naj bo sedaj obrnjen proti vam.
English: Due to the rapid onset of activity, inhaled human insulin should be given within 10 minutes before the start of a meal.
Slovenian: Zaradi hitrega nastopa delovanja morate humani insulin za inhaliranje dajati največ 10 minut pred začetkom obroka.
English: Insulin antibodies may develop during treatment with all insulins including EXUBERA.
Slovenian: Insulinska protitelesa se lahko pojavijo med zdravljenjem z vsemi insulini, vključno z zdravilom EXUBERA.
English: Visit (weeks)
Slovenian: čas (min)
English: Any patients experiencing such a reaction should discontinue EXUBERA and seek medical evaluation immediately.
Slovenian: Bolniki, pri katerih bi se pojavila takšna reakcija, naj prekinejo z jemanjem zdravila EXUBERA in si takoj priskrbijo zdravniški pregled.
English: Cough - A cough may occur within seconds to minutes after inhaling EXUBERA.
Slovenian: Kašelj - Kašelj se lahko pojavi v nekaj sekundah ali nekaj minutah po inhaliranju zdravila EXUBERA.
English: Do not use soap or any other cleanser.
Slovenian: Ne uporabljajte detergenta ali kakšnega drugega čistila.
English: You should contact your doctor or pharmacist as soon as possible to get more 3 mg blisters.
Slovenian: Čimprej pojdite k zdravniku ali farmacevtu, da boste dobili nove 3-mg pretisne omote.
English: Patients should inhale the insulin powder from the mouthpiece in one slow and steady inhalation.
Slovenian: Bolniki morajo vdihniti insulinski prašek iz ustnika v enem samem počasnem in enakomernem vdihu.
English: Before you start taking EXUBERA your doctor or nurse will tell you how to use the inhaler properly.
Slovenian: Preden začnete jemati zdravilo EXUBERA, vam bosta vaš zdravnik ali medicinska sestra pokazala, kako pravilno uporabljati inhalator.
English: The table below contains adverse reactions seen in controlled clinical studies including more than 1970 patients exposed to EXUBERA.
Slovenian: Spodnja preglednica vsebuje neželene učinke, ki so jih opazili v kontroliranih kliničnih študijah, ki so zajele več kot 1970 bolnikov, izpostavljenih zdravilu EXUBERA.
English: -If you have taken too much insulin, you may develop hypoglycaemia.
Slovenian: - Če ste vzeli preveč insulina, se pri vas lahko razvije hipoglikemija.
English: (If the new IRU does not drop into place or fits tightly, remove
Slovenian: (Če novi nastavek za sproščanje insulina ne zdrsne na mesto ali če se preveč tesno prilega, ga izvlecite in poskusite
English: • If you smoke, or if you have smoked in the last six months you must not take EXUBERA as you may have extra risk of hypoglycaemia (very low blood sugar).
Slovenian: - če kadite ali če ste v zadnjih šestih mesecih kadili, zdravila EXUBERA ne smete jemati, ker utegne biti pri vas še posebno velika nevarnost hipoglikemije (nizkega krvnega sladkorja).
English: EXUBERA is an anti-diabetic agent that lowers your blood sugar.
Slovenian: EXUBERA je antidiabetično zdravilo, ki znižuje vaš krvni sladkor.
English: The inhaler and its components should be stored and used in a dry place.
Slovenian: Inhalator in njegove sestavne dele shranjujte in uporabljajte na suhem.
English: Alcohol may increase the action of insulin and cause low blood sugar levels.
Slovenian: Alkohol lahko okrepi delovanje insulina in povzroči znižanje krvnega sladkorja.
English: Diabetes is a disease in which your body does not produce enough insulin to control the level of blood sugar.
Slovenian: Diabetes je bolezen, pri kateri telo ne izloča dovolj insulina, da bi obvladovalo koncentracijo krvnega sladkorja.
English: The safety of EXUBERA alone, or in combination with subcutaneous insulin or oral agents has been evaluated in clinical studies of more than 2700 patients with type 1 or type 2 diabetes, including more than 1975 adults exposed for greater than 6 months and more than 745 adults for greater than 2 years.
Slovenian: Varnost zdravila EXUBERA, bodisi samega bodisi v kombinaciji s subkutanim insulinom ali peroralnimi antidiabetiki, so ovrednotili v kliničnih študijah več kot 2700 bolnikov z diabetesom tipa 1 ali tipa 2, med drugim več kot 1975 odraslih, ki so bili izpostavljeni zdravilu več kot 6 mesecev, in več kot 745 odraslih, ki so bili zdravilu izpostavljeni več kot 2 leti.
English: Experience with inhaled insulin in patients 75 years of age is limited.
Slovenian: Starejši bolniki Izkušnje z inhaliranim insulinom pri bolnikih, starih ≥ 75 let, so omejene.
English: Close your mouth and hold your breath for 5
Slovenian: Zaprite usta in za 5 sekund zadržite sapo.
English: If your liver or kidneys do not function well speak to your doctor, who may advise that you use lower insulin doses.
Slovenian: Če vaša jetra ali ledvici ne delujejo dobro, se pogovorite z zdravnikom, ki vam bo mogoče svetoval, da zmanjšajte odmerke insulina.