[Long acting insulin analogs: possibly more stable glucose regulation]
SourceNederlands Tijdschrift voor Geneeskunde, 148, 34, (2004), pp. 1674-1678
Article / Letter to editor
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Nederlands Tijdschrift voor Geneeskunde
SubjectUMCN 2.2: Vascular medicine and diabetes
A better diabetes regulation seems possible, with the aid of the recently available insulin analogs than with isophane insulin, for patients with diabetes mellitus type 1 or 2. The glycaemic regulation can be improved and/or the chances of hypoglycaemia can be reduced by reduced variability in the resorption of (insulin glargine) or by binding to the serum albumin (insulin detemir). With poor regulation it seems possible to bring about a substantial HbA1c reduction without an increase in hypoglycaemic incidents, and with reasonable to good regulation to achieve a reduction of the number of hypoglycaemias whilst HbA1c remains the same.
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