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1 . 2021

Basal insulin evolution: from simple to more complex

Abstract

Insulin therapy is the main component of the type 1 diabetes treatment. Since the discovery of insulin in 1920's and to the present day the improvement of insulin has been an ongoing process. In a century insulin therapy has gone from insulin extracted from cattle pancreas to the second-generation basal insulin analogues which is the closest thing to the physiological insulin secretion. The article presents a review of basal insulin preparations evolution. The main tendency consists in the prolonging of insulin action. The use of the second-generation basal insulin preparations allows achieving diabetes compensation and reducing the risk of hypoglycemia

Keywords:insulin therapy, basal insulin, hypoglycemia, pharmacodynamics, pharmacokinetics, long-acting insulin of the second generation

Funding. The study had no sponsor support.

Conflict of interests. The authors declare no conflict of interests.

For citation: Okminyan G.F., Latyshev O.Yu., Kiseleva E.V., Kasatkina E.P., Samsonova L.N. Basal insulin evolution: from simple to more complex. Endokrinologiya: novosti, mneniya, obuchenie [Endocrinology: News, Opinions, Training]. 2021; 10 (1): 18-25. DOI: https://doi.org/10.33029/2304-9529-2021-10-1-18-25 (in Russian)

References

1. DiMeglio L.A., Acerini C.L., Codner E., Craig M.E., Hofer S.E., Pillay K., et al. ISPAD Clinical Practice Consensus Guidelines 2018: Glycemic control targets and glucose monitoring for children, adolescents, and young adults with diabetes. Pediatr Diabetes. 2018; 19 (suppl 27): 105-14. DOI: https://doi.org/10.1111/pedi.12737 PMID: 30058221.

2. Battelino T., Danne T., Bergenstal R.M., Amiel S.A., Beck R., Biester T., et al. Clinical targets for continuous glucose monitoring data interpretation: recommendations from the International Consensus on Time in Range. Diabetes Care. 2019; 42 (8): 1593-603. DOI: https://doi.org/10.2337/dci19-0028 PMID: 31177185; PMCID: PMC 6973648.

3. American Diabetes Association. Glycemic Targets: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020; 43 (suppl 1): S 6676. DOI: https://doi.org/10.2337/dc20-S006 PMID: 31862749.

4. Standards of specialized diabetes care. In: I.I. Dedov, M.V. Shestakova, A. Yu. Mayorov (eds). 9th ed. Sakharniy diabet [Diabetes Mellitus]. 2019; 22 (1S 1): 1-144. DOI: https://doi.org/10.14341/DM221S1 (in Russian)

5. Hegele R.A., Maltman G.M. Insulin’s centenary: the birth of an idea. Lancet Diabetes Endocrinol. 2020; 8 (12): 971-7. DOI: https://doi.org/10.1016/S2213-8587(20)30337-5 PMID: 33129375.

6. Garber A.J. Will the next generation of basal insulins offer clinical advantages? Diabetes Obes Metab. 2014; 16 (6): 483-91. DOI: https://doi.org/10.1111/dom.12219 PMID: 24118819.

7. Bolli G.B., Andreoli A.M., Lucidi P. Optimizing the replacement of basal insulin in type 1 diabetes mellitus: no longer an elusive goal in the post-NPH era. Diabetes Technol Ther. 2011; 13 (suppl 1): S 43-52. DOI: https://doi.org/10.1089/dia.2011.0039 PMID: 21668336.[11]

8. Hirsch I.B., Juneja R., Beals J.M., Antalis C.J., Wright E.E. The Evolution of insulin and how it informs therapy and treatment choices. Endocr Rev. 2020; 41 (5): 733-55. DOI: https://doi.org/10.1210/endrev/bnaa015

9. Pettus J., Santos Cavaiola T., Tamborlane W.V., Edelman S. The past, present, and future of basal insulins. Diabetes Metab Res Rev. 2016; 32 (6): 478-96. DOI: https://doi.org/10.1002/dmrr.2763 PMID: 26509843.

10. Cheng A.Y.Y., Patel D.K., Reid T.S., Wyne K. Differentiating basal insulin preparations: understanding how they work explains why they are different. Adv Ther. 2019; 36 (5): 1018-30. DOI: https://doi.org/10.1007/s12325-019-00925-6

11. Heise T., Mathieu C. Impact of the mode of protraction of basal insulin therapies on their pharmacokinetic and pharmacodynamic properties and resulting clinical outcomes. Diabetes Obes Metab. 2017; 19 (1): 3-12. DOI: https://doi.org/10.1111/dom.12782 PMID: 27593206; PMCID: PMC 5215074.

12. Home P.D., Bergenstal R.M., Bolli G.B., Ziemen M., Rojeski M., Es-pinasse M., et al. New insulin glargine 300 units/mL versus glargine 100 units/mL in people with type 1 diabetes: a randomized, phase 3a, open-label clinical trial (EDITION 4). Diabetes Care. 2015; 38 (12): 2217-25. DOI: https://doi.org/10.2337/dc15-0249 PMID: 26084341.

13. Anderson J.E. An evolutionary perspective on basal insulin in diabetes treatment: innovations in insulin: insulin glargine U-300. J Fam Pract. 2016; 65 (10 suppl): S 23-8. PMID: 27846339.

14. Danne T., Matsuhisa M., Sussebach C., et al. Lower risk of severe hypoglycaemia with insulin glargine 300 U/mL versus glargine 100 U/mL in participants with type 1 diabetes: a meta-analysis of 6-month phase 3 clinical trials. Diabetes Obes Metab. 2020; 22 (10): 1880-5. DOI: https://doi.org/10.1111/dom.14109

15. Bergenstal R.M., Bailey T.S., Rodbard D., Ziemen M., Guo H., Mue-hlen-Bartmer I., et al. Comparison of insulin glargine 300 units/mL and 100 units/mL in adults with type 1 diabetes: continuous glucose monitoring profiles and variability using morning or evening injections. Diabetes Care. 2017; 40 (4): 554-60. DOI: https://doi.org/10.2337/dc16-0684 PMID: 28115474.

16. Subramanian S., Baidal D., Skyler J.S., Hirsch I.B. The management of type 1 diabetes. 2016 Nov 16. In: Endotext [Internet]. K.R. Feingold, B. Anawalt, A. Boyce, G. Chrousos, W.W. de Herder, K. Dungan, et al. (eds). South Dartmouth, MA: MDText.com, 2000. PMID: 25905338.

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CHIEF EDITOR
CHIEF EDITOR
Ametov Alexander S.
Honored Scientist of the Russian Federation, Doctor of Medical Sciences, Professor, Head of Subdepartment of Endocrinology, Head of the UNESCO Network Chair on the subject «Bioethics of diabetes as a global problem» of the Russian Medical Academy of Continuous Professional Education (Moscow)
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