Modern basal insulins: an ongoing story or the start of a new era?

Basal insulin represents an essential tool in the treatment of both type 1 and type 2 diabetes mellitus. The development of insulin analogues has improved the possibilities of diabetes treatment. Despite significant progress in understanding the physiology, chemistry, kinetics and action of insulin,...

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Autor principal: Ivan Ivanovich Dedov
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RU
Publicado: Endocrinology Research Centre 2015
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Acceso en línea:https://doaj.org/article/56c4eb10926d4375bf48510fb0af4b63
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spelling oai:doaj.org-article:56c4eb10926d4375bf48510fb0af4b632021-11-14T09:00:20ZModern basal insulins: an ongoing story or the start of a new era?2072-03512072-037810.14341/DM7693https://doaj.org/article/56c4eb10926d4375bf48510fb0af4b632015-12-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/7693https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Basal insulin represents an essential tool in the treatment of both type 1 and type 2 diabetes mellitus. The development of insulin analogues has improved the possibilities of diabetes treatment. Despite significant progress in understanding the physiology, chemistry, kinetics and action of insulin, currently available basal insulin products do not optimally mimic the endogenous profile of insulin. Although basal insulin analogues have some advantages over neutral protamine Hagedorn insulin in diabetes treatment, hypoglycaemia remains the main problem in the achievement of optimal glycaemic control in most patients with diabetes. These unmet clinical needs have stimulated the development of new basal insulin analogues with improved pharmacological profiles. This article reviews the specific characteristics of new long-acting insulin analogues to try and understand their benefits and limitations in the improvement of diabetes management and their possibilities in physiologic and safe insulin replacement.Ivan Ivanovich DedovEndocrinology Research Centrearticlediabetes mellitusinsulin therapybasal insulin analogues evolutiondegludecNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 18, Iss 4, Pp 5-11 (2015)
institution DOAJ
collection DOAJ
language EN
RU
topic diabetes mellitus
insulin therapy
basal insulin analogues evolution
degludec
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle diabetes mellitus
insulin therapy
basal insulin analogues evolution
degludec
Nutritional diseases. Deficiency diseases
RC620-627
Ivan Ivanovich Dedov
Modern basal insulins: an ongoing story or the start of a new era?
description Basal insulin represents an essential tool in the treatment of both type 1 and type 2 diabetes mellitus. The development of insulin analogues has improved the possibilities of diabetes treatment. Despite significant progress in understanding the physiology, chemistry, kinetics and action of insulin, currently available basal insulin products do not optimally mimic the endogenous profile of insulin. Although basal insulin analogues have some advantages over neutral protamine Hagedorn insulin in diabetes treatment, hypoglycaemia remains the main problem in the achievement of optimal glycaemic control in most patients with diabetes. These unmet clinical needs have stimulated the development of new basal insulin analogues with improved pharmacological profiles. This article reviews the specific characteristics of new long-acting insulin analogues to try and understand their benefits and limitations in the improvement of diabetes management and their possibilities in physiologic and safe insulin replacement.
format article
author Ivan Ivanovich Dedov
author_facet Ivan Ivanovich Dedov
author_sort Ivan Ivanovich Dedov
title Modern basal insulins: an ongoing story or the start of a new era?
title_short Modern basal insulins: an ongoing story or the start of a new era?
title_full Modern basal insulins: an ongoing story or the start of a new era?
title_fullStr Modern basal insulins: an ongoing story or the start of a new era?
title_full_unstemmed Modern basal insulins: an ongoing story or the start of a new era?
title_sort modern basal insulins: an ongoing story or the start of a new era?
publisher Endocrinology Research Centre
publishDate 2015
url https://doaj.org/article/56c4eb10926d4375bf48510fb0af4b63
work_keys_str_mv AT ivanivanovichdedov modernbasalinsulinsanongoingstoryorthestartofanewera
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