Using ultra-rapid insulin analogs in children and adolescents with type 1 diabetes mellitus

Background. The purpose of the study was a retrospective comparative analysis of using insulin analogues of the prolonged and ultra-short action and human genetically engineered insulins of middle and short action in children and adolescents with type 1 diabetes mellitus (DM). Materials and methods....

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Main Authors: О.V. Bolshova, N.A. Sprinchuk
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2017-11-01
Series:Mìžnarodnij Endokrinologìčnij Žurnal
Subjects:
Online Access:http://iej.zaslavsky.com.ua/article/view/119273
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author О.V. Bolshova
N.A. Sprinchuk
author_facet О.V. Bolshova
N.A. Sprinchuk
author_sort О.V. Bolshova
collection DOAJ
description Background. The purpose of the study was a retrospective comparative analysis of using insulin analogues of the prolonged and ultra-short action and human genetically engineered insulins of middle and short action in children and adolescents with type 1 diabetes mellitus (DM). Materials and methods. The influence of ultra-rapid insulin analog in comparison with human rapid-action insulin on the course of type 1 DM in 100 children and adolescents was studied. It was applied as basal-bolus regimen of insulin therapy. Analysis of parameters which reflect criteria of insulin therapy effectiveness, positive effect of ultra-rapid insulin analog on the course of DM has been performed. Results. Application of ultra-rapid insulin analog before each meal improved parameters of pre- and postprandial glycemia, decreased the range of fluctuations of blood sugar during the day, reduced and maintained HbA1c level without augmentation of frequency and intensity of hypoglycaemia, and also decreased the level of noctural hypoglycaemia. Conclusions. The ultra-rapid insulin analog is the drug of choice for the effective use in insulin pumps.
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spelling doaj.art-2c67015bb3b644129fa0952563c2552a2022-12-21T18:41:24ZengZaslavsky O.Yu.Mìžnarodnij Endokrinologìčnij Žurnal2224-07212307-14272017-11-0113857458010.22141/2224-0721.13.8.2017.119273119273Using ultra-rapid insulin analogs in children and adolescents with type 1 diabetes mellitusО.V. Bolshova0N.A. Sprinchuk1State Institution “V.P. Komisarenko Institute of Endocrinology and Metabolism of the NAMS of Ukraine”, Kyiv, UkraineState Institution “V.P. Komisarenko Institute of Endocrinology and Metabolism of the NAMS of Ukraine”, Kyiv, UkraineBackground. The purpose of the study was a retrospective comparative analysis of using insulin analogues of the prolonged and ultra-short action and human genetically engineered insulins of middle and short action in children and adolescents with type 1 diabetes mellitus (DM). Materials and methods. The influence of ultra-rapid insulin analog in comparison with human rapid-action insulin on the course of type 1 DM in 100 children and adolescents was studied. It was applied as basal-bolus regimen of insulin therapy. Analysis of parameters which reflect criteria of insulin therapy effectiveness, positive effect of ultra-rapid insulin analog on the course of DM has been performed. Results. Application of ultra-rapid insulin analog before each meal improved parameters of pre- and postprandial glycemia, decreased the range of fluctuations of blood sugar during the day, reduced and maintained HbA1c level without augmentation of frequency and intensity of hypoglycaemia, and also decreased the level of noctural hypoglycaemia. Conclusions. The ultra-rapid insulin analog is the drug of choice for the effective use in insulin pumps.http://iej.zaslavsky.com.ua/article/view/119273type 1 diabetes mellituschildren and adolescentsbasal-bolus regimen of insulin therapyultra-rapid insulin analogglycemic controlinsulin pump
spellingShingle О.V. Bolshova
N.A. Sprinchuk
Using ultra-rapid insulin analogs in children and adolescents with type 1 diabetes mellitus
Mìžnarodnij Endokrinologìčnij Žurnal
type 1 diabetes mellitus
children and adolescents
basal-bolus regimen of insulin therapy
ultra-rapid insulin analog
glycemic control
insulin pump
title Using ultra-rapid insulin analogs in children and adolescents with type 1 diabetes mellitus
title_full Using ultra-rapid insulin analogs in children and adolescents with type 1 diabetes mellitus
title_fullStr Using ultra-rapid insulin analogs in children and adolescents with type 1 diabetes mellitus
title_full_unstemmed Using ultra-rapid insulin analogs in children and adolescents with type 1 diabetes mellitus
title_short Using ultra-rapid insulin analogs in children and adolescents with type 1 diabetes mellitus
title_sort using ultra rapid insulin analogs in children and adolescents with type 1 diabetes mellitus
topic type 1 diabetes mellitus
children and adolescents
basal-bolus regimen of insulin therapy
ultra-rapid insulin analog
glycemic control
insulin pump
url http://iej.zaslavsky.com.ua/article/view/119273
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AT nasprinchuk usingultrarapidinsulinanalogsinchildrenandadolescentswithtype1diabetesmellitus