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糖尿病现有注射疗法概述:给从业者的指南

An Overview of Currently Available Injectable Therapies in Diabetes: A Guide to Practitioners.

作者信息

Kesavadev Jothydev, Basanth Anjana, Shankar Arun, Saboo Banshi, Mohan Anjana Ranjit, Joshi Shashank, Ghosh Sujoy, Krishnan Gopika, Jothydev Krishnadev, Ashik Asha

机构信息

Jothydev's Diabetes and Research Centre, Trivandrum, Kerala, India.

Dia Care-Diabetes Care and Hormone Clinic, Diabetology, Ahmedabad, Gujarat, India.

出版信息

Adv Ther. 2025 Jun 7. doi: 10.1007/s12325-025-03250-3.

Abstract

The management of diabetes has seen significant advancements with the introduction of various injectable therapies. Being a common chronic disorder, it is managed by doctors across all specialties worldwide. Despite the availability of new medications, healthcare professionals continue to face ambiguity due to differing terminologies and variations in regional practices. This review aims to elucidate the current therapeutic spectrum of injectable therapies in diabetes care, providing clarity on the types, mechanisms, and clinical implications of both insulin and non-insulin injections. An extensive review of existing literature was conducted, focusing on insulin injections (including short-acting, rapid-acting, ultra-rapid acting, intermediate-acting, long acting and ultra-long-acting types), non-insulin injections (such as glucagon-like peptide-1 [GLP-1] receptor agonists, dual GLP-1 and gastric inhibitory polypeptide [GIP] agonist, and amylin analogs) and co-formulations (long-acting insulin with GLP-1 or long-acting insulin with rapid acting insulin). We have included innovators and biosimilars in this review article for better understanding. Insulin therapies offer tailored glycemic control, while non-insulin injectables provide additional benefits in weight management and reduced hypoglycemia risk. This review serves as a comprehensive guide for healthcare providers worldwide to navigate the landscape of injectable treatment options in diabetes, with a focus on optimizing therapeutic outcomes through informed decision-making.

摘要

随着各种注射疗法的引入,糖尿病的管理取得了显著进展。作为一种常见的慢性疾病,全球所有专业的医生都在对其进行管理。尽管有新的药物可供使用,但由于术语不同和地区实践存在差异,医疗保健专业人员仍然面临困惑。本综述旨在阐明糖尿病护理中注射疗法的当前治疗范围,明确胰岛素和非胰岛素注射的类型、作用机制及临床意义。我们对现有文献进行了广泛综述,重点关注胰岛素注射(包括短效、速效、超速效、中效、长效和超长效类型)、非胰岛素注射(如胰高血糖素样肽-1 [GLP-1] 受体激动剂、双重GLP-1和胃抑制多肽 [GIP] 激动剂以及胰淀素类似物)和复方制剂(长效胰岛素与GLP-1或长效胰岛素与速效胰岛素)。为了更好地理解,我们在这篇综述文章中纳入了创新药物和生物类似药。胰岛素疗法可实现个性化血糖控制,而非胰岛素注射剂在体重管理和降低低血糖风险方面具有额外益处。本综述为全球医疗保健提供者提供了一份全面指南,以指导他们在糖尿病注射治疗选择领域中做出决策,重点是通过明智的决策优化治疗效果。

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