good/relevant question. from a doc's standpoint, it would take much more than the common cold for the average person to experience a change in absorption of the drug from the pulmonary capillaries. i can't answer whether or not mnkd has adressed the issue of acute pulmonary infections, but i believe strongly that it is 100% a non-issue. if a person were experiencing such a disruption of gas exchange from an acute pulmonary infection that afrezza wasn't being taken up by the capillaries, then they have a MUCH bigger issue than their blood sugar at that time. it would take a significant and emergent problem to cause such an imbalance, and by that time they are in the emergency room or ICU getting parenteral insulin. so i would not worry about it. although i wish AF or someone would scare people a little about it so i can get more shares on the cheap! -chad