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[当前胰岛素治疗。新型速效和长效胰岛素类似物的治疗]

[Current insulin therapy. Treatment with new short-acting and retard insulin analogs].

作者信息

Matthaei S, Hamann A

机构信息

Medizinische Kernklinik und Poliklinik, Universitäts-Krankenhaus Eppendort, Hamburg.

出版信息

Fortschr Med. 1997 Apr 30;115(12):35-6, 39.

PMID:9235301
Abstract

Intensified insulin therapy of type I diabetics can now be rendered more patient-friendly through the use of rapid-action insulin. Thus, for example, the rapid absorption of the monomeric lispro insulin (Humalog) out of the subcutaneous fatty tissue obviates the need to observe a delay between injection and meal, and the changed kinetics of action reduce the danger of postprandial episodes of hypoglycemia. In addition to practice-relevant hints on the use of these new short-acting insulins in intensified insulin therapy, this short article reviews the current state of the development of a new long-acting insulin that is shortly to be tested in an international multi-center phase III study.

摘要

通过使用速效胰岛素,I型糖尿病患者的强化胰岛素治疗现在可以变得对患者更加友好。例如,单体赖脯胰岛素(优泌乐)从皮下脂肪组织中的快速吸收消除了注射与进餐之间需要等待的时间,并且作用动力学的改变降低了餐后低血糖发作的风险。除了关于在强化胰岛素治疗中使用这些新型短效胰岛素的与实践相关的提示外,这篇短文还综述了一种新型长效胰岛素的当前研发状态,该胰岛素即将在一项国际多中心III期研究中进行测试。

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1
[Current insulin therapy. Treatment with new short-acting and retard insulin analogs].[当前胰岛素治疗。新型速效和长效胰岛素类似物的治疗]
Fortschr Med. 1997 Apr 30;115(12):35-6, 39.
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Biosynthetic Human Insulin and Insulin Analogs.生物合成人胰岛素和胰岛素类似物。
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Metabolic efficacy of preprandial administration of Lys(B28), Pro(B29) human insulin analog in IDDM patients. A comparison with human regular insulin during a three-meal test period.餐前注射赖脯胰岛素(Lys[B28],Pro[B29])类似物在胰岛素依赖型糖尿病患者中的代谢疗效。与正规人胰岛素在三餐测试期的比较。
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[Taking the peak out of blood pressure. Diabetics can also live spontaneously].[降低血压峰值。糖尿病患者也能自然生活]
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Both continuous subcutaneous insulin infusion and a multiple daily insulin injection regimen with glargine as basal insulin are equally better than traditional multiple daily insulin injection treatment.持续皮下胰岛素输注和以甘精胰岛素作为基础胰岛素的每日多次胰岛素注射方案均比传统的每日多次胰岛素注射治疗效果更好。
Diabetes Care. 2003 Apr;26(4):1321-2. doi: 10.2337/diacare.26.4.1321.