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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.

DOI:10.1007/s12325-025-03250-3
PMID:40481909
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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An Overview of Currently Available Injectable Therapies in Diabetes: A Guide to Practitioners.糖尿病现有注射疗法概述:给从业者的指南
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Glucagon-like peptide 1 (GLP-1) receptor agonists for people with chronic kidney disease and diabetes.用于慢性肾病和糖尿病患者的胰高血糖素样肽1(GLP-1)受体激动剂。
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本文引用的文献

1
Counseling for Insulin Icodec: A Proposed Practitioner's Guide.胰岛素icodec咨询:拟议的从业者指南。
Diabetes Ther. 2024 Jul;15(7):1491-1499. doi: 10.1007/s13300-024-01600-y. Epub 2024 May 14.
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Molecular Pharmacology in Diabetes.糖尿病中的分子药理学
Int J Mol Sci. 2024 Mar 6;25(5):3051. doi: 10.3390/ijms25053051.
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Unleashing the power of retatrutide: A possible triumph over obesity and overweight: A correspondence.释放瑞替鲁肽的力量:战胜肥胖和超重的可能胜利:一封通信
Health Sci Rep. 2024 Feb 5;7(2):e1864. doi: 10.1002/hsr2.1864. eCollection 2024 Feb.
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Journey of Teplizumab: A Promising Drug in the Treatment of Type 1 Diabetes Mellitus.特力泌单抗之旅:1 型糖尿病治疗的有前途的药物。
Curr Diabetes Rev. 2024;21(1):e250124226249. doi: 10.2174/0115733998261825231026060241.
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Teplizumab and β-Cell Function in Newly Diagnosed Type 1 Diabetes.特立帕肽和新诊断 1 型糖尿病的β细胞功能。
N Engl J Med. 2023 Dec 7;389(23):2151-2161. doi: 10.1056/NEJMoa2308743. Epub 2023 Oct 18.
6
Triple-Hormone-Receptor Agonist Retatrutide for Obesity - A Phase 2 Trial.三重激素受体激动剂 Retatrutide 治疗肥胖症的 2 期临床试验
N Engl J Med. 2023 Aug 10;389(6):514-526. doi: 10.1056/NEJMoa2301972. Epub 2023 Jun 26.
7
Efficacy and safety of co-administered once-weekly cagrilintide 2·4 mg with once-weekly semaglutide 2·4 mg in type 2 diabetes: a multicentre, randomised, double-blind, active-controlled, phase 2 trial.在 2 型糖尿病患者中联合应用每周一次 2·4 mg 卡格列净和每周一次 2·4 mg 司美格鲁肽的疗效和安全性:一项多中心、随机、双盲、阳性对照、2 期临床试验。
Lancet. 2023 Aug 26;402(10403):720-730. doi: 10.1016/S0140-6736(23)01163-7. Epub 2023 Jun 23.
8
Insulin Icodec Weekly: A Basal Insulin Analogue for Type 2 Diabetes.胰岛素icodec周制剂:一种用于2型糖尿病的基础胰岛素类似物。
touchREV Endocrinol. 2023 May;19(1):4-6. doi: 10.17925/EE.2023.19.1.4. Epub 2023 Mar 16.
9
Insulin pump complications among children with diabetes.儿童糖尿病患者的胰岛素泵并发症。
Can Fam Physician. 2022 Dec;68(12):893-895. doi: 10.46747/cfp.6812893.
10
9. Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes-2023.9. 血糖治疗的药物学方法:2023 年糖尿病的护理标准。
Diabetes Care. 2023 Jan 1;46(Suppl 1):S140-S157. doi: 10.2337/dc23-S009.