King Allen
University of California, San Francisco, CA; Diabetes Care Center, Salinas, CA, USA.
J Fam Pract. 2013 Sep;62(9 Suppl Insulin):S9-17.
The central role of insulin in the management of patients with type 1 diabetes mellitus (T1DM) remains, nearly a century after its first use in humans. In patients with type 2 diabetes mellitus (T2DM), the role of insulin has evolved as other therapies have been introduced, with insulin now used across the spectrum of the disease. This article discusses the use of insulin in patients with T1DM or T2DM, including combined use with other agents in T2DM, with an emphasis on incretin-based therapies. In addition, new insulin products and concentrations are discussed along with their varied routes of administration.
自首次用于人体近一个世纪以来,胰岛素在1型糖尿病(T1DM)患者治疗中仍发挥着核心作用。在2型糖尿病(T2DM)患者中,随着其他治疗方法的引入,胰岛素的作用也在不断演变,目前胰岛素在该疾病的各个阶段都有应用。本文讨论了胰岛素在T1DM或T2DM患者中的使用,包括与T2DM中其他药物的联合使用,重点是基于肠促胰岛素的治疗方法。此外,还讨论了新的胰岛素产品、浓度及其不同的给药途径。