Time-action profile of inhaled insulin in comparison with subcutaneously injected insulin lispro and regular human insulin.

Abstract:

OBJECTIVE:This study compares the time-action profile of inhaled insulin (INH; Exubera) with that of subcutaneously injected insulin lispro (ILP) or regular human insulin (RHI) in healthy volunteers. RESEARCH DESIGN AND METHODS:In this open-label, randomized, three-way, crossover study, 17 healthy male volunteers were given each of the following treatments in random order: INH (6 mg), ILP (18 units), or RHI (18 units). Glucose infusion rates and serum insulin concentrations were monitored over 10 h. RESULTS:INH had a faster onset of action than both RHI and ILP, as indicated by shorter time to early half-maximal effect (32 vs. 48 and 41 min, respectively; P < 0.001 for IHN vs. RHI and P < 0.05 for IHN vs. ILP). Time to maximal effect was comparable between INH and ILP (143 vs. 137 min; NS) but was shorter for INH than RHI (193 min; P < 0.01). The maximal metabolic effect of INH was comparable with RHI but lower than ILP (8.7 vs. 9.8 vs. 11.2 mg . kg(-1) . min(-1), respectively; P < 0.01 for INH vs. ILP). The duration of action of INH, indicated by time to late half-maximal effect (387 min), was longer than ILP (313 min; P < 0.01) and comparable to RHI (415 min; NS). Total glucodynamic effect after inhalation of INH was comparable to both ILP and RHI (NS). Relative bioefficacy of INH was 10% versus RHI and 11% versus ILP. No drug-related adverse events were observed. CONCLUSIONS:INH had a faster onset of action than RHI or ILP and a duration of action longer than ILP and comparable to RHI. These characteristics suggest that inhaled insulin is suitable for prandial insulin supplementation in patients with diabetes.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Rave K,Bott S,Heinemann L,Sha S,Becker RH,Willavize SA,Heise T

doi

10.2337/diacare.28.5.1077

subject

Has Abstract

pub_date

2005-05-01 00:00:00

pages

1077-82

issue

5

eissn

0149-5992

issn

1935-5548

pii

28/5/1077

journal_volume

28

pub_type

临床试验,杂志文章,随机对照试验
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    doi:

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    journal_title:Diabetes care

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    journal_title:Diabetes care

    pub_type: 杂志文章,评审

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    pub_type: 杂志文章,随机对照试验

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:2002-01-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc20-1671

    authors: Wolf RM,Liu TYA,Thomas C,Prichett L,Zimmer Galler I,Smith K,Abramoff MD,Channa R

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc20-0630

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    更新日期:2004-05-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

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    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究,随机对照试验

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    journal_title:Diabetes care

    pub_type: 杂志文章

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc16-2228

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    更新日期:2017-08-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.21.6.930

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    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

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    更新日期:2020-02-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.12.3.179

    authors: Anderson BJ,Wolf FM,Burkhart MT,Cornell RG,Bacon GE

    更新日期:1989-03-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 共识发展会议,杂志文章,实务指引

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    更新日期:2009-01-01 00:00:00

  • Metabolic Syndrome Components Are Associated With Symptomatic Polyneuropathy Independent of Glycemic Status.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc16-0081

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  • GLP-1 tablet in type 2 diabetes in fasting and postprandial conditions.

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    journal_title:Diabetes care

    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

    doi:10.2337/diacare.18.7.923

    authors: Shaltout AA,Qabazard MA,Abdella NA,LaPorte RE,al Arouj M,Ben Nekhi A,Moussa MA,al Khawari MA

    更新日期:1995-07-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.24.8.1359

    authors: Young-Hyman D,Schlundt DG,Herman L,De Luca F,Counts D

    更新日期:2001-08-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc14-0297

    authors: Driskell OJ,Holland D,Waldron JL,Ford C,Scargill JJ,Heald A,Tran M,Hanna FW,Jones PW,Pemberton RJ,Fryer AA

    更新日期:2014-10-01 00:00:00

  • Vascular risk factors and markers of endothelial function as determinants of inflammatory markers in type 1 diabetes: the EURODIAB Prospective Complications Study.

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    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/diacare.26.7.2165

    authors: Schram MT,Chaturvedi N,Schalkwijk C,Giorgino F,Ebeling P,Fuller JH,Stehouwer CD,EURODIAB Prospective Complications Study.

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  • Biphasic insulin aspart 30/70: pharmacokinetics and pharmacodynamics compared with once-daily biphasic human insulin and Basal-bolus therapy.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc09-0097

    authors: Heise T,Heinemann L,Hövelmann U,Brauns B,Nosek L,Haahr HL,Olsen KJ

    更新日期:2009-08-01 00:00:00