The modern pharmacological approach to diabetes: innovative methods of monitoring and insulin treatment

Expert Rev Med Devices. 2022 Jul;19(7):581-589. doi: 10.1080/17434440.2022.2113387. Epub 2022 Aug 21.

Abstract

Introduction: Diabetes mellitus, commonly known as just diabetes, is a group of metabolic disorders characterized by a high blood sugar level over a prolonged period of time. In order to maintain this blood glucose value in normal parameters, a careful monitoring of it and insulin administration are necessary.

Areas covered: Thus, to facilitate this procedure, new blood glucose monitoring systems have been studied. The smart lens, the nano tattoo, noninvasive sensors based on reverse ionthophoresis and glucose oxidase - based continuous blood glucose monitoring systems, are the methods described in this study. Of course, not only is blood glucose monitoring important, but also the lifestyle of a drug or the way a drug is administered, especially in the case of insulin. How insulin is administered is also a topic that we address in this article. In an attempt to promote compliance with the administration, we have discussed about new forms of administering insulin such as: oral, intranasal, administration on the oral mucosa and last but not least, transdermal administration.

Expert opinion: Further, the attention of specialists should be directed to devices based on sensors, with a role in the interruption of insulin administration, in case of detection of hypoglycemia or the additional dose of insulin, if hyperglycemia is detected.

Keywords: Diabetes; innovative insulin delivery systems; insulin; nanotransporters; smart tattoo.

MeSH terms

  • Blood Glucose
  • Blood Glucose Self-Monitoring
  • Diabetes Mellitus* / drug therapy
  • Diabetes Mellitus, Type 1* / drug therapy
  • Humans
  • Hyperglycemia* / diagnosis
  • Hyperglycemia* / drug therapy
  • Hypoglycemia* / diagnosis
  • Hypoglycemia* / drug therapy
  • Insulin / therapeutic use
  • Insulin Infusion Systems

Substances

  • Blood Glucose
  • Insulin