Are newer insulin analogues better for people with Type 1 diabetes?
File(s)Insulin review R3 SM Final.docx (121.82 KB)
Accepted version
Author(s)
Misra, Shivani
Mathieu, Chantal
Type
Journal Article
Abstract
Achieving optimal blood glucose control in Type 1 diabetes is a delicate balance between ensuring tight glycaemic control and achieving this without the expense of hypoglycaemia and weight gain, two major factors impacting quality of life. This is a real challenge for people with Type 1 diabetes and underpins many of the struggles they face in self‐managing on a day‐to‐day basis. The main goals of insulin delivery are to try to simulate the physiology of β‐cell insulin secretion as closely as possible and to overcome the challenges of peripheral insulin administration by achieving rapidity of onset with mealtime insulins and stability of the glucose‐lowering effects of long‐acting insulins. Since the early days of human insulin use, there have been many developments in insulin formulations that aim to achieve these goals as much as possible, thus contributing to better glycaemic control whilst minimizing hypoglycaemia. In the present review we discuss the currently available insulin analogues and the challenges of achieving glucose control using current analogues in those on multiple daily injections, and appraise the evidence base for newer‐generation insulin analogues, such as insulin degludec, glargine U300, faster‐acting insulin aspart and BioChaperone lispro. We also highlight new insulins in development and unmet needs in people with Type 1 diabetes.
Date Issued
2020-04-01
Date Acceptance
2018-11-27
Citation
Diabetic Medicine, 2020, 37 (4), pp.522-531
ISSN
0742-3071
Publisher
Wiley
Start Page
522
End Page
531
Journal / Book Title
Diabetic Medicine
Volume
37
Issue
4
Copyright Statement
© 2018 Diabetes UK. This is the accepted version of the following article, which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/dme.13891
Sponsor
European Foundation for the Study of Diabetes
Grant Number
N/A
Subjects
1103 Clinical Sciences
1117 Public Health and Health Services
1701 Psychology
Endocrinology & Metabolism
Publication Status
Published
Date Publish Online
2018-12-26