Literature DB >> 28709853

Evaluation of current trends and recent development in insulin therapy for management of diabetes mellitus.

Muhammad Sarfraz Nawaz1, Kifayat Ullah Shah2, Tahir Mehmood Khan3, Asim Ur Rehman1, Haroon Ur Rashid1, Sajid Mahmood1, Shahzeb Khan4, Muhammad Junaid Farrukh4.   

Abstract

OBJECTIVE: Diabetes mellitus is a major health problem in developing countries. There are various insulin therapies to manage diabetes mellitus. This systematic review evaluates various insulin therapies for management of diabetes mellitus worldwide. This review also focuses on recent developments being explored for better management of diabetes mellitus. RESEARCH DESIGN AND
METHOD: We reviewed a number of published articles from 2002 to 2016 to find out the appropriate management of diabetes mellitus. The paramount parameters of the selected studies include the insulin type & its dose, type of diabetes, duration and comparison of different insulin protocols. In addition, various newly developed approaches for insulin delivery with potential output have also been evaluated.
RESULTS: A great variability was observed in managing diabetes mellitus through insulin therapy and the important controlling factors found for this therapy include; dose titration, duration of insulin use, type of insulin used and combination therapy of different insulin.
CONCLUSION: A range of research articles on current trends and recent advances in insulin has been summarized, which led us to the conclusion that multiple daily insulin injections or continuous subcutaneous insulin infusion (insulin pump) is the best method to manage diabetes mellitus. In future perspectives, development of the oral and inhalant insulin would be a tremendous breakthrough in Insulin therapy.
Copyright © 2017 Diabetes India. Published by Elsevier Ltd. All rights reserved.

Entities:  

Keywords:  Diabetes management; Diabetes mellitus; Glycemic control; HbA1c; Insulin therapy

Mesh:

Substances:

Year:  2017        PMID: 28709853     DOI: 10.1016/j.dsx.2017.07.003

Source DB:  PubMed          Journal:  Diabetes Metab Syndr        ISSN: 1871-4021


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