Seriously? Endos could care less about what form of insulin they use. Likely more important to them are the kickbacks and perks they receive from BPs with money -- things that MNKD is too broke to provide.
What does matter is insurance and they will not be impressed by a four week pilot trial involving patients checking glucose at 1 and 2 hours post-meals and dosing accordingly. Indeed, they might even be put off at the amounts of afrezza required to keep a patient "in range."
No, A1c is what matters to them -- long term control of A1c. Until MNKD provides data showing better long term control of A1c than lispro, it is pretty much guaranteed to remain a dud.