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

Abstract:

:OBJECTIVE Pharmacological profiles of biphasic insulin aspart 30/70 (BIAsp 30) once daily (OD), twice daily (b.i.d.), and three times daily (t.i.d.) were compared with other insulin regimens in two crossover glucose clamp studies of insulin-treated type 2 diabetic patients. RESEARCH DESIGNS AND METHODS Study 1 consisted of BIAsp 30 OD, b.i.d., and t.i.d. versus biphasic human insulin 30/70 (BHI 30), OD (n = 24). Study 2 examined BIAsp 30 t.i.d. versus basal-bolus therapy (insulin glargine OD plus insulin glulisine t.i.d.) (n = 24). Pharmacokinetics/pharmacodynamics (PK/PD) were investigated over 24 h. RESULTS Study 1: PK and PD were markedly different between BIAsp 30 OD and BHI 30 OD: the maximum insulin concentration and glucose infusion rate (GIR) were higher for BIAsp 30; time to maximum metabolism was 1.7 h sooner for BIAsp 30. Study 2: both regimens showed three distinct prandial-related GIR peaks. GIR 24-h area under the curve for BIAsp t.i.d. was higher than for basal-bolus therapy: 2,585.2 vs. 2,289.2 mg/kg. CONCLUSIONS BIAsp had pharmacological advantages over BHI. BIAsp t.i.d. had a similar PD profile to basal-bolus therapy.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

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

doi

10.2337/dc09-0097

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

1431-3

issue

8

eissn

0149-5992

issn

1935-5548

pii

dc09-0097

journal_volume

32

pub_type

杂志文章
  • Differential Association of Microvascular Attributions With Cardiovascular Disease in Patients With Long Duration of Type 1 Diabetes.

    abstract:OBJECTIVE:Independent association of chronic kidney disease (CKD) and proliferative diabetic retinopathy (PDR) with cardiovascular disease (CVD) has not been established. In the Joslin 50-Year Medalist study, characterizing individuals with type 1 diabetes for 50 years or more, we examined the associations of CKD and P...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc17-2250

    authors: Gordin D,Harjutsalo V,Tinsley L,Fickweiler W,Sun JK,Forsblom C,Amenta PS,Pober D,D'Eon S,Khatri M,Stillman IE,Groop PH,Keenan HA,King GL

    更新日期:2018-04-01 00:00:00

  • Renal structure in normoalbuminuric and albuminuric patients with type 2 diabetes and impaired renal function.

    abstract:OBJECTIVE:The structural basis of normoalbuminuric renal insufficiency in patients with type 2 diabetes remains to be elucidated. We compared renal biopsy findings in patients with type 2 diabetes and estimated glomerular filtration rate (eGFR) and measured GFR of <60 mL/min/1.73 m2, associated with either normo-, micr...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-2572

    authors: Ekinci EI,Jerums G,Skene A,Crammer P,Power D,Cheong KY,Panagiotopoulos S,McNeil K,Baker ST,Fioretto P,Macisaac RJ

    更新日期:2013-11-01 00:00:00

  • Blood pressure and cardiovascular disease risk in the Veterans Affairs Diabetes Trial.

    abstract:OBJECTIVE:Blood pressure ranges associated with cardiovascular disease (CVD) events in advanced type 2 diabetes are not clear. Our objective was to determine whether baseline and follow-up (On-Study) systolic blood pressure (SBP), diastolic blood pressure (DBP), and SBP combined with DBP predict CVD events in the Veter...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc10-1420

    authors: Anderson RJ,Bahn GD,Moritz TE,Kaufman D,Abraira C,Duckworth W,VADT Study Group.

    更新日期:2011-01-01 00:00:00

  • Blood pressure and the risk of developing diabetes in african americans and whites: ARIC, CARDIA, and the framingham heart study.

    abstract:OBJECTIVE:We examined the association between high blood pressure and incident type 2 diabetes in African Americans and whites aged 35-54 years at baseline. RESEARCH DESIGN AND METHODS:We combined data from the Atherosclerosis Risk in Communities (ARIC) study, the Coronary Artery Risk Development in Young Adults (CARD...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc10-1786

    authors: Wei GS,Coady SA,Goff DC Jr,Brancati FL,Levy D,Selvin E,Vasan RS,Fox CS

    更新日期:2011-04-01 00:00:00

  • Insulin allergy treated with human insulin (recombinant DNA).

    abstract::Two insulin-dependent diabetic subjects treated with pork and beef insulin during a period of 6 mo developed severe local reactions. Both patients had an important allergic history (asthma, urticaria, drug reactions, rhinitis). Skin-testing revealed type I allergy to beef and pork insulin. Specific IgE-insulin binding...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.5.2.s168

    authors: De Leeuw I,Delvigne C,Bekaert J

    更新日期:1982-11-01 00:00:00

  • Beneficial effects of a Dietary Approaches to Stop Hypertension eating plan on features of the metabolic syndrome.

    abstract:OBJECTIVE:To determine the effects of a Dietary Approaches to Stop Hypertension (DASH) eating plan on metabolic risks in patients with the metabolic syndrome. RESEARCH DESIGN AND METHODS:This was a randomized controlled outpatient trial conducted on 116 patients with the metabolic syndrome. Three diets were prescribed...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/diacare.28.12.2823

    authors: Azadbakht L,Mirmiran P,Esmaillzadeh A,Azizi T,Azizi F

    更新日期:2005-12-01 00:00:00

  • Improving diabetes processes of care in managed care.

    abstract:OBJECTIVE:To evaluate the impact of systematic patient evaluation and patient and provider feedback on the processes and intermediate outcomes of diabetes care in Independent Practice Association model internal medicine practices. RESEARCH DESIGN AND METHODS:Nine practices providing care to managed care patients were ...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.2337/diacare.26.10.2722

    authors: Ilag LL,Martin CL,Tabaei BP,Isaman DJ,Burke R,Greene DA,Herman WH

    更新日期:2003-10-01 00:00:00

  • Effect of rosiglitazone versus insulin on the pancreatic beta-cell function of subjects with type 2 diabetes.

    abstract:OBJECTIVE:In a previous study, we found observational evidence of improvement in beta-cell function when rosiglitazone was added to a failing oral antihyperglycemic regimen consisting of sulfonylureas and metformin. To confirm our previous observations, we designed and performed a prospective, randomized, and controlle...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.27.11.2585

    authors: Ovalle F,Bell DS

    更新日期:2004-11-01 00:00:00

  • Dietary intake of total, animal, and vegetable protein and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition (EPIC)-NL study.

    abstract:OBJECTIVE:Dietary recommendations are focused mainly on relative dietary fat and carbohydrate content in relation to diabetes risk. Meanwhile, high-protein diets may contribute to disturbance of glucose metabolism, but evidence from prospective studies is scarce. We examined the association among dietary total, vegetab...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc09-1321

    authors: Sluijs I,Beulens JW,van der A DL,Spijkerman AM,Grobbee DE,van der Schouw YT

    更新日期:2010-01-01 00:00:00

  • Comparison of the effects of three insulinotropic drugs on plasma insulin levels after a standard meal.

    abstract:OBJECTIVE:To compare the effects of repaglinide, glipizide, and glibenclamide on insulin secretion and postprandial glucose after a single standard 500-kcal test meal. RESEARCH DESIGN AND METHODS:A total of 12 type 2 diabetic patients with early diabetes (mean HbA(1c) of 6.1%) and 12 matched control subjects were enro...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.2337/diacare.25.8.1271

    authors: Cozma LS,Luzio SD,Dunseath GJ,Langendorg KW,Pieber T,Owens DR

    更新日期:2002-08-01 00:00:00

  • Transient state of NIDDM in a patient with AIDS.

    abstract:OBJECTIVE:To describe a glucose abnormality in AIDS that is characterized by transient NIDDM followed by hyperinsulinemic normoglycemia. RESEARCH DESIGN AND METHODS:A 36-yr-old Hispanic man with AIDS was on long-standing aerosolized pentamidine therapy in 1986. He received a course of intravenous pentamidine 5 mo befo...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.16.6.931

    authors: Abourizk NN,Lyons RW,Madden GM

    更新日期:1993-06-01 00:00:00

  • Cerebral and ophthalmic artery hemodynamic responses in diabetes mellitus.

    abstract:OBJECTIVE:To address whether hemodynamic responses in the cerebral arteries and OAs may be altered in patients with diabetic retinopathy. We used TCD to evaluate the effects of changes in BP, posture, and exercise on MCA and OA blood flow velocities. RESEARCH DESIGN AND METHODS:We evaluated 13 patients with BDR, 19 wi...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.16.2.476

    authors: Albert SG,Gomez CR,Russell S,Chaitman BR,Bernbaum M,Kong BA

    更新日期:1993-02-01 00:00:00

  • Blood or urine glucose-based insulin therapy and control of glycemia. Computer-simulation study.

    abstract::Adjustment algorithms for conventional insulin therapy must be tested for safety and efficacy before clinical implementation. We did this by computer simulation. Accordingly, a computer simulator of human intermediary metabolism created 10 randomly chosen diabetic subjects for study. All were well defined with respect...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.13.4.393

    authors: Albisser AM,Sozzi S,Strack TR

    更新日期:1990-04-01 00:00:00

  • Racial variation in the control of diabetes among elderly medicare managed care beneficiaries.

    abstract:OBJECTIVE:To examine racial variation in the poor control of GHb, a GHb value >9.5%, or GHb not tested in 1999 among Medicare beneficiaries aged 65-75 years enrolled in managed care plans. RESEARCH DESIGN AND METHODS:The National Committee on Quality Assurance provides person-level data regarding diabetes care service...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.26.12.3250

    authors: McBean AM,Huang Z,Virnig BA,Lurie N,Musgrave D

    更新日期:2003-12-01 00:00:00

  • Inflammation and activated innate immunity in the pathogenesis of type 2 diabetes.

    abstract::There is increasing evidence that an ongoing cytokine-induced acute-phase response (sometimes called low-grade inflammation, but part of a widespread activation of the innate immune system) is closely involved in the pathogenesis of type 2 diabetes and associated complications such as dyslipidemia and atherosclerosis....

    journal_title:Diabetes care

    pub_type: 杂志文章,评审

    doi:10.2337/diacare.27.3.813

    authors: Pickup JC

    更新日期:2004-03-01 00:00:00

  • Stress and diabetes mellitus.

    abstract::Stress is a potential contributor to chronic hyperglycemia in diabetes. Stress has long been shown to have major effects on metabolic activity. Energy mobilization is a primary result of the fight or flight response. Stress stimulates the release of various hormones, which can result in elevated blood glucose levels. ...

    journal_title:Diabetes care

    pub_type: 杂志文章,评审

    doi:10.2337/diacare.15.10.1413

    authors: Surwit RS,Schneider MS,Feinglos MN

    更新日期:1992-10-01 00:00:00

  • Improving the comparability of diabetes mortality statistics in the U.S. and Mexico.

    abstract:OBJECTIVE:The aim of this study was to increase the cross-state comparability of diabetes mortality statistics related in the U.S. and Mexico. RESEARCH DESIGN AND METHODS:We used multinomial logistic regression to estimate the effects of individual and community factors on a death for which diabetes was recorded as on...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc07-1370

    authors: Murray CJ,Dias RH,Kulkarni SC,Lozano R,Stevens GA,Ezzati M

    更新日期:2008-03-01 00:00:00

  • Analysis of Attained Height and Diabetes Among 554,122 Adults Across 25 Low- and Middle-Income Countries.

    abstract:OBJECTIVE:The prevalence of type 2 diabetes is rising rapidly in low-income and middle-income countries (LMICs), but the factors driving this rapid increase are not well understood. Adult height, in particular shorter height, has been suggested to contribute to the pathophysiology and epidemiology of diabetes and may i...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc20-0019

    authors: Teufel F,Geldsetzer P,Manne-Goehler J,Karlsson O,Koncz V,Deckert A,Theilmann M,Marcus ME,Ebert C,Seiglie JA,Agoudavi K,Andall-Brereton G,Gathecha G,Gurung MS,Guwatudde D,Houehanou C,Hwalla N,Kagaruki GB,Karki KB,Lab

    更新日期:2020-10-01 00:00:00

  • Why do low-fat high-carbohydrate diets accentuate postprandial lipemia in patients with NIDDM?

    abstract:OBJECTIVE:To understand why low-fat high-carbohydrate (CHO) diets lead to higher fasting and postprandial concentrations of triglyceride (TG)-rich lipoproteins in patients with non-insulin-dependent diabetes mellitus (NIDDM). RESEARCH DESIGN AND METHODS:Patients with NIDDM were placed randomly on diets containing eith...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.18.1.10

    authors: Chen YD,Coulston AM,Zhou MY,Hollenbeck CB,Reaven GM

    更新日期:1995-01-01 00:00:00

  • Screening for coronary artery disease in patients with diabetes.

    abstract::Coronary artery disease (CAD) accounts for a large fraction of the morbidity, mortality, and cost of diabetes. Recognizing this, nearly 10 years ago the American Diabetes Association published a consensus recommendation that clinicians consider a risk factor-guided screening approach to early diagnosis of CAD in both ...

    journal_title:Diabetes care

    pub_type: 共识发展会议,杂志文章

    doi:10.2337/dc07-9927

    authors: Bax JJ,Young LH,Frye RL,Bonow RO,Steinberg HO,Barrett EJ,ADA.

    更新日期:2007-10-01 00:00:00

  • Beta-cell dysfunction, insulin sensitivity, and glycosuria precede diabetes in hepatocyte nuclear factor-1alpha mutation carriers.

    abstract:OBJECTIVE:Patients with diabetes due to hepatocyte nuclear factor (HNF)-1alpha mutations have beta-cell deficiency, insulin sensitivity, altered proinsulin levels, and a low renal threshold for glucose. It is uncertain how many of these features precede the development of diabetes. The aim of our study was to test for ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.28.7.1751

    authors: Stride A,Ellard S,Clark P,Shakespeare L,Salzmann M,Shepherd M,Hattersley AT

    更新日期:2005-07-01 00:00:00

  • Effect of type 1 diabetes on carotid structure and function in adolescents and young adults: the SEARCH CVD study.

    abstract:OBJECTIVE:Type 1 diabetes mellitus causes increased carotid intima-media thickness (IMT) in adults. We evaluated IMT in young subjects with type 1 diabetes. RESEARCH DESIGN AND METHODS:Participants with type 1 diabetes (N = 402) were matched to controls (N = 206) by age, sex, and race or ethnicity. Anthropometric and ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-2024

    authors: Urbina EM,Dabelea D,D'Agostino RB Jr,Shah AS,Dolan LM,Hamman RF,Daniels SR,Marcovina S,Wadwa RP

    更新日期:2013-09-01 00:00:00

  • PEPCK gene as model of inhibitory effects of insulin on gene transcription.

    abstract::Regulation of gene transcription is a major action of insulin. Most of the greater than 20 examples of this effect involve the stimulation of transcription, but a few involve an inhibition. The inhibition of transcription of the phosphoenolpyruvate carboxykinase (PEPCK) gene has been studied in detail. Most of this ef...

    journal_title:Diabetes care

    pub_type: 杂志文章,评审

    doi:10.2337/diacare.13.3.327

    authors: O'Brien RM,Granner DK

    更新日期:1990-03-01 00:00:00

  • Autonomic neuropathy in diabetes mellitus: a follow-up study.

    abstract::To evaluate the development of autonomic neuropathy, 23 patients with a moderate (group A) and 18 patients with a long (group B) duration of diabetes and without symptoms of autonomic neuropathy were re-investigated 6 yr after the initial studies. Autonomic nerve function was evaluated from heart reactions to deep bre...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.8.2.129

    authors: Sundkvist G,Lilja B

    更新日期:1985-03-01 00:00:00

  • Glucagon response to oral glucose challenge in type 1 diabetes: lack of impact of euglycemia.

    abstract::OBJECTIVE Previous studies have demonstrated aberrant glucagon physiology in the setting of type 1 diabetes (T1D) but have not addressed the potential impact of ambient glycemia on this glucagon response. Thus, our objective was to evaluate the impact of euglycemia versus hyperglycemia on the glucagon response to an o...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc13-2339

    authors: Kramer CK,Borgoño CA,Van Nostrand P,Retnakaran R,Zinman B

    更新日期:2014-04-01 00:00:00

  • Insomnia with objective short sleep duration is associated with type 2 diabetes: A population-based study.

    abstract:OBJECTIVE:We examined the joint effects of insomnia and objective short sleep duration, the combination of which is associated with higher morbidity, on diabetes risk. RESEARCH DESIGN AND METHODS:A total of 1,741 men and women randomly selected from Central Pennsylvania were studied in the sleep laboratory. Insomnia w...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc09-0284

    authors: Vgontzas AN,Liao D,Pejovic S,Calhoun S,Karataraki M,Bixler EO

    更新日期:2009-11-01 00:00:00

  • A quantitative scale of acanthosis nigricans.

    abstract:OBJECTIVE:To develop and validate a scale for acanthosis nigricans (AN). RESEARCH DESIGN AND METHODS:Subjects were participants from the San Antonio Family Diabetes Study and the San Antonio Family Heart Study. A total of 406 subjects were independently examined for AN by at least two observers. Five locations were ex...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.22.10.1655

    authors: Burke JP,Hale DE,Hazuda HP,Stern MP

    更新日期:1999-10-01 00:00:00

  • Ketoacidosis at diabetes onset is still frequent in children and adolescents: a multicenter analysis of 14,664 patients from 106 institutions.

    abstract:OBJECTIVE:We aimed at analyzing the frequency, clinical characteristics, and trends associated with the occurrence of diabetic ketoacidosis (DKA) at the onset of type 1 diabetes on the basis of long-term follow-up data. RESEARCH DESIGN AND METHODS:A total of 106 pediatric diabetes centers in Germany and Austria partic...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc09-0553

    authors: Neu A,Hofer SE,Karges B,Oeverink R,Rosenbauer J,Holl RW,DPV Initiative and the German BMBF Competency Network for Diabetes Mellitus.

    更新日期:2009-09-01 00:00:00

  • Neurocognitive functioning in children and adolescents at the time of type 1 diabetes diagnosis: associations with glycemic control 1 year after diagnosis.

    abstract:OBJECTIVE:To determine whether impairments in neurocognitive functioning are detectable at type 1 diabetes diagnosis and associated with subsequent glycemic control. RESEARCH DESIGN AND METHODS:Children/adolescents (N = 147) aged 5-18 years completed neuropsychological testing during their inpatient hospitalization fo...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc14-0103

    authors: Schwartz DD,Axelrad ME,Anderson BJ

    更新日期:2014-09-01 00:00:00

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

    abstract:OBJECTIVE:Previous studies demonstrate that the metabolic syndrome is associated with distal symmetric polyneuropathy (DSP). We aimed to determine the magnitude of this effect and the precise components involved. RESEARCH DESIGN AND METHODS:We determined the symptomatic DSP prevalence in the Health, Aging, and Body Co...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc16-0081

    authors: Callaghan BC,Xia R,Banerjee M,de Rekeneire N,Harris TB,Newman AB,Satterfield S,Schwartz AV,Vinik AI,Feldman EL,Strotmeyer ES,Health ABC Study.

    更新日期:2016-05-01 00:00:00