吸入胰岛素治疗糖尿病的新途径

Komal. P. Kumbhar, S. S. Suryawanshi, S. Patil
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引用次数: 2

摘要

糖尿病是一种以胰岛素分泌不足和高血糖为特征的慢性疾病。微血管和大血管疾病是糖尿病并发症的两种类型,良好的糖尿病管理影响。许多糖尿病患者依靠皮下注射胰岛素或持续输液来控制血糖水平。自20世纪20年代以来,皮下胰岛素已被用于治疗糖尿病;然而,尽管有多种配方,强化胰岛素治疗包括许多日常注射尚未获得普遍的临床批准。寻找一种成功的、耐受性良好的非肠内给胰岛素的方法始于20世纪20年代,包括眼、口腔、直肠、阴道和其他途径。鉴于胰岛素注射治疗对许多患者来说是负担,新的胰岛素给药途径是糖尿病部门感兴趣的。本综述将讨论吸入给药胰岛素到肺部的方法。在不同的糖尿病人群中,吸入胰岛素的安全性以及与皮下胰岛素相比的有效性进行了讨论。直到最近,许多研究人员认为无创注射胰岛素的生物利用度太低,无法用于临床实践。另一方面,根据越来越多的研究,吸入胰岛素似乎是一种有效的、耐受性良好的、无创的替代皮下常规胰岛素的方法。重要的是,吸入胰岛素比注射胰岛素具有更多的生理胰岛素特征。
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Novel Route of Inhaled Insulin for Diabetes Treatment
Diabetes is a chronic condition characterised by insufficient insulin secretion and hyperglycemia as a result. Microvascular and macrovascular disease are two types of diabetic complications that are affected by good diabetes management. Many diabetics rely on subcutaneous insulin injections or continuous infusions to keep their blood sugar levels under control. Insulin delivery via new routes Since the 1920s, subcutaneous insulin has been used to treat diabetes; nevertheless, despite a variety of formulations, intensive insulin therapy including many daily injections has not acquired universal clinical approval. The search for a successful, well-tolerated nonenteral method for delivering insulin began in the 1920s, and has included ocular, buccal, rectal, vaginal, and other routes. Given that insulin injection therapy is burdensome for many patients, novel insulin administration routes are of interest in the diabetes sector. The use of inhalation to administer insulin to the lungs will be discussed in this review. Inhaled insulin's safety as well as efficacy in contrast to subcutaneous insulin in diverse diabetic populations are discussed. Until recently, many researchers considered that noninvasively given insulin had too low a bioavailability to be useful in clinical practise. Inhaled insulin, on the other hand, appears to be an effective, well-tolerated, and noninvasive alternative to subcutaneous regular insulin, according to a growing body of research. Importantly, inhaled insulin has a more physiological insulin profile than injectable insulin.
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