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吸入用重组人胰岛素(胰岛素吸入粉)治疗糖尿病

Inhaled human insulin ((insulin human [rDNA origin]) Inhalation Powder) in diabetes mellitus.

作者信息

Mathieu Chantal

机构信息

UZ Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium.

出版信息

Expert Opin Drug Metab Toxicol. 2006 Oct;2(5):779-91. doi: 10.1517/17425255.2.5.779.

Abstract

Inhaled human insulin ((insulin human [rDNA origin]) Inhalation Powder) is a prandial insulin approved in the EU and the US for the treatment of adults with diabetes. Its glycaemic control is comparable to subcutaneous insulin in Type 1 and 2 diabetes, and has superior efficacy versus oral antidiabetic agents in Type 2 diabetes. Hypoglycaemia and mild-to-moderate cough are the main side effects. The treatment group differences in pulmonary function occur early, and are small, nonprogressive for up to 2 years and reversible following discontinuation. Patient-reported outcomes data displays higher diabetes treatment satisfaction, improvements in some quality-of-life scores, and treatment preference with inhaled human insulin versus traditional means. Availability of inhaled insulin may increase insulin acceptance and thus improve glycaemic control in patients with diabetes.

摘要

吸入用重组人胰岛素((重组人胰岛素[rDNA 来源])吸入粉)是一种在欧盟和美国获批用于治疗成人糖尿病的餐时胰岛素。在 1 型和 2 型糖尿病中,其血糖控制效果与皮下注射胰岛素相当,且在 2 型糖尿病中,其疗效优于口服抗糖尿病药物。低血糖和轻至中度咳嗽是主要副作用。肺功能方面的治疗组差异出现较早,差异较小,长达 2 年无进展,停药后可逆转。患者报告的结果数据显示,糖尿病治疗满意度更高,一些生活质量评分有所改善,与传统治疗方式相比,患者更倾向于吸入用重组人胰岛素治疗。吸入胰岛素的可获得性可能会提高患者对胰岛素的接受度,从而改善糖尿病患者的血糖控制。

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Inhaled insulin: gone with the wind?吸入式胰岛素:随风而逝了吗?
Diabetologia. 2008 Jan;51(1):1-5. doi: 10.1007/s00125-007-0875-x.

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