Title : Insulin glargine: an updated review of its use in the management of diabetes mellitus.

Pub. Date : 2003

PMID : 12904090






14 Functional Relationships(s)
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1 Insulin glargine: an updated review of its use in the management of diabetes mellitus. Insulin Glargine insulin Homo sapiens
2 Insulin glargine is a human insulin analogue prepared by recombinant DNA technology. Insulin Glargine insulin Homo sapiens
3 Insulin glargine is a human insulin analogue prepared by recombinant DNA technology. Insulin Glargine insulin Homo sapiens
4 Modification of the human insulin molecule at position A21 and at the C-terminus of the B-chain results in the formation of a stable compound that is soluble at pH 4.0, but forms amorphous microprecipitates in subcutaneous tissue from which small amounts of insulin glargine are gradually released. Insulin Glargine insulin Homo sapiens
5 The plasma concentration versus time profile of insulin glargine is therefore relatively constant in relation to conventional human insulins, with no pronounced peak over 24 hours. Insulin Glargine insulin Homo sapiens
6 Early randomised trials with insulin glargine generally showed greater reductions in fasting blood or plasma glucose levels and a reduced frequency of nocturnal hypoglycaemia relative to neutral protamine Hagedorn (NPH) insulin in patients with type 1 diabetes mellitus. Insulin Glargine insulin Homo sapiens
7 More recent data with insulin glargine have included evidence of improved glycaemic control, with improvements in satisfaction with treatment over NPH insulin. Insulin Glargine insulin Homo sapiens
8 Results from comparative studies and meta-analyses in individuals with type 2 diabetes show lower incidences of nocturnal hypoglycaemia with insulin glargine than with NPH insulin, with two studies showing a significantly greater improvement in glycosylated haemoglobin levels with insulin glargine than with NPH. Insulin Glargine insulin Homo sapiens
9 Results from comparative studies and meta-analyses in individuals with type 2 diabetes show lower incidences of nocturnal hypoglycaemia with insulin glargine than with NPH insulin, with two studies showing a significantly greater improvement in glycosylated haemoglobin levels with insulin glargine than with NPH. Insulin Glargine insulin Homo sapiens
10 Long-term data show maintenance of glycaemic control with insulin glargine for up to 39 months in adults and children with type 1 and adults with type 2 diabetes. Insulin Glargine insulin Homo sapiens
11 In conclusion, insulin glargine is an effective and well tolerated basal insulin therapy when given as a single daily subcutaneous injection to patients with diabetes, with benefits in terms of glycaemic control and reduced frequency of hypoglycaemia over regimens based on conventional basal insulins. Insulin Glargine insulin Homo sapiens
12 In conclusion, insulin glargine is an effective and well tolerated basal insulin therapy when given as a single daily subcutaneous injection to patients with diabetes, with benefits in terms of glycaemic control and reduced frequency of hypoglycaemia over regimens based on conventional basal insulins. Insulin Glargine insulin Homo sapiens
13 Accumulating data and official recommendations show the suitability of insulin glargine for first-line use in selected patients with type 2 diabetes who require insulin treatment, as well as in patients with type 1 disease, and confirm its use in children and adolescents. Insulin Glargine insulin Homo sapiens
14 Accumulating data and official recommendations show the suitability of insulin glargine for first-line use in selected patients with type 2 diabetes who require insulin treatment, as well as in patients with type 1 disease, and confirm its use in children and adolescents. Insulin Glargine insulin Homo sapiens