Science Journal of Clinical Medicine
Volume 1, Issue 1, December 2012, Pages: 4-9
Received: Dec. 30, 2012;
Published: Dec. 30, 2012
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Giuseppina T. Russo, Department of Clinical and Experimental Medicine, University of Messina, Italy
Provvidenza Villari, Department of Clinical and Experimental Medicine, University of Messina, Italy
Elisabetta L Romeo, Department of Clinical and Experimental Medicine, University of Messina, Italy
Annalisa Giandalia, Department of Clinical and Experimental Medicine, University of Messina, Italy
Domenico Cucinotta, Department of Clinical and Experimental Medicine, University of Messina, Italy
Several insulin formulations are currently available for clinical use, including human regular and protaminated insulins, rapid- and long- acting analogs and premixed combinations, which can be used in different regimens. However, there is no consensus on which are the insulin formulation and the insulin regimen of choice, especially in type 2 diabetes. Overall, insulin analogs are preferred for their better pharmacological properties with a minor hypoglycaemic risk, whereas their superiority in reducing HbA1c levels is still debated. Despite the impressive steps undertaken so far, insulin therapy is still too complex and burdensome, and even with an intensified regimen, only a modest percentage of subjects reaches HbA1c goals. New insulin formulations and devices are currently awaited to better fulfill the still unmet needs of insulin therapy.
Giuseppina T. Russo,
Elisabetta L Romeo,
Recombinant Insulin in Type 2 Diabetes Treatment: Where Are We Now?, Science Journal of Clinical Medicine.
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