Non-invasive delivery of Insulin for breaching hindrances against Diabetes

IF 3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Critical Reviews in Therapeutic Drug Carrier Systems Pub Date : 2023-12-01 DOI:10.1615/critrevtherdrugcarriersyst.2023048197
Manoj Sarangi, Sasmita Padhi, Goutam Rath
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Abstract

Insulin is recognized as a crucial weapon in managing diabetes. Subcutaneous (s.c.) injections are the traditional approach for insulin administration, which usually have many limitations. Numerous alternative (non-invasive) slants through different routes have been explored by the researchers for making needle-free delivery of insulin for attaining its augmented absorption as well as bioavailability. The current review delineating numerous pros and cons of several novel approaches of non-invasive insulin delivery by overcoming many of their hurdles. Primary information on the topic was gathered by searching scholarly articles from PubMed added with extraction of data from auxiliary manuscripts. Many approaches (discussed in the article) are meant for the delivery of a safe, effective, stable, and patient friendly administration of insulin via buccal, oral, inhalational, transdermal, intranasal, ocular, vaginal and rectal routes. Few of them have proven their clinical efficacy for maintaining the glycemic levels, whereas others are under the investigational pipe line. The developed products are comprising of many advanced micro/nano composite technologies and few of them might be entering into the market in near future, thereby garnishing the hopes of millions of diabetics who are under the network of s.c. insulin injections.
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以非侵入方式输送胰岛素,打破糖尿病防治障碍
胰岛素是公认的控制糖尿病的重要武器。皮下注射是传统的胰岛素给药方法,通常有许多局限性。研究人员通过不同途径探索了许多替代性(非侵入性)给药方式,以实现胰岛素的无针给药,从而提高胰岛素的吸收率和生物利用率。本综述通过克服许多障碍,描述了几种无创胰岛素给药新方法的众多利弊。有关该主题的主要信息是通过搜索 PubMed 上的学术文章以及从辅助手稿中提取的数据收集的。文章中讨论的许多方法都是为了通过口腔、口服、吸入、透皮、鼻内、眼部、阴道和直肠等途径安全、有效、稳定、方便地给患者注射胰岛素。其中有几种产品已经证明了其在维持血糖水平方面的临床疗效,而其他产品还在研究阶段。已开发的产品采用了许多先进的微/纳米复合技术,其中一些产品可能会在不久的将来进入市场,从而为数以百万计的胰岛素注射网络下的糖尿病患者带来希望。
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来源期刊
CiteScore
5.50
自引率
18.50%
发文量
27
审稿时长
>12 weeks
期刊介绍: Therapeutic uses of a variety of drug carrier systems have significant impact on the treatment and potential cure of many chronic diseases, including cancer, diabetes mellitus, psoriasis, parkinsons, Alzheimer, rheumatoid arthritis, HIV infection, infectious diseases, asthma, and drug addiction. Scientific efforts in these areas are multidisciplinary, involving the physical, biological, medical, pharmaceutical, biological materials, and engineering fields. Articles concerning this field appear in a wide variety of journals. With the vast increase in the number of articles and the tendency to fragment science, it becomes increasingly difficult to keep abreast of the literature and to sort out and evaluate the importance and reliability of the data, especially when proprietary considerations are involved. Abstracts and noncritical articles often do not provide a sufficiently reliable basis for proper assessment of a given field without the additional perusal of the original literature. This journal bridges this gap by publishing authoritative, objective, comprehensive multidisciplinary critical review papers with emphasis on formulation and delivery systems. Both invited and contributed articles are subject to peer review.
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