Long-acting insulin analogs.

Abstract:

:Once daily injection of existing intermediate/long-acting insulin preparations does not provide a 24-h basal insulinemia in most patients. High variability, pronounced insulin peaks, and (as a result) a high risk of nocturnal hypoglycemia only poorly simulate normal physiology. One principle to prolong insulin action is the shift of the isoelectric point of insulin towards neutral. One example is HOE 901, which shows in healthy volunteers a constant peakless profile over the entire 24-h clamp period. In 4-week trials in comparison to NPH insulin, significant lower fasting plasma glucose levels were achieved with lower rates of nocturnal hypoglycemia. Another principle to prolong insulin action is the use of soluble fatty acid acylated insulins that are bound to albumin after absorption. The combination of long- and short-acting insulins might provide the tools towards the final goal of achieving sustained normoglycemia in diabetic patients.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Rosskamp RH,Park G

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

B109-13

eissn

0149-5992

issn

1935-5548

journal_volume

22 Suppl 2

pub_type

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    pub_type: 临床试验,杂志文章,随机对照试验

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    pub_type: 杂志文章

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