[Insulinization in type 2 diabetes mellitus. Intensification options]

Medicina (B Aires). 2016;76(3):173-9.
[Article in Spanish]

Abstract

Diabetes mellitus is associated with vascular complications and high rates of morbidity and mortality. Timely insulin therapy, intensified when necessary, represent appropriate measures to prevent or delay the onset of complications. However, the incidence of hypoglycemia and difficulties in treatment adherence represent barriers to achieve therapeutic success. Premixes analogs and, specially, combinations of insulin analogues are associated with pharmacokinetic and pharmacodynamic advantages, that translate into clinical benefits such as improved metabolic control, decreased hypoglycemic events and, for their simplicity, potentially greater adherence.

Keywords: aspart insulin; biphasic insulin; combination drugs; degludec insulin; insulin; insulin-therapy.

MeSH terms

  • Diabetes Mellitus, Type 2 / drug therapy*
  • Diabetes Mellitus, Type 2 / prevention & control
  • Drug Therapy, Combination
  • Glucagon-Like Peptide-1 Receptor / antagonists & inhibitors
  • Humans
  • Hypoglycemia / chemically induced
  • Hypoglycemia / prevention & control
  • Hypoglycemic Agents / pharmacokinetics
  • Hypoglycemic Agents / therapeutic use*
  • Insulins / pharmacokinetics
  • Insulins / therapeutic use*
  • Risk Factors
  • Treatment Outcome

Substances

  • Glucagon-Like Peptide-1 Receptor
  • Hypoglycemic Agents
  • Insulins