Addressing barriers to effective basal insulin therapy.

Mohan, V and John, M and Baruah, M and Bhansali, A (2014) Addressing barriers to effective basal insulin therapy. The Journal of the Association of Physicians of India, 62 (1 Suppl). pp. 10-4. ISSN 0004-5772



Diabetes has reached epidemic proportions worldwide. It is a major health hazard particularly in developing countries like India due to the genetic susceptibility and changes in lifestyle. Glycaemic control is very poor in India as reflected by recent studies showing average HbA1c of > 9%. Insulin therapy is the mainstay of diabetes management. Currently available insulins have certain limitations. Modern insulin therapy needs to overcome these limitations to effectively achieve the optimal glycemic control. Hypoglycaemia is one of the important barrier which limits the use of insulin therapy and incidence of hypoglycaemia increases with increased variability in glucose lowering effects of Insulin when one tries to achieve stricter glycaemic targets. Fixed time administration is another important barrier, particularly for basal insulin administration that may affect the quality of life. Also the available basal insulins do not provide complete 24 hours control of fasting hyperglycaemia. Insulin degludec is designed to have a flat and stable glucose-lowering effect for more than 42 hours with less risk of hypoglycaemia. And it overcomes most of the issues with currently available basal insulins.

Item Type:Article
Official URL/DOI:
Uncontrolled Keywords:insulin therapy, Barriers, Glycaemic
Subjects:Diabetes > Diabetes Treatment
Diabetology > Insulin Dependent Diabetes Mellitus
Divisions:Department of Diabetology
ID Code:851
Deposited By:surendar radha
Deposited On:04 Nov 2014 12:25
Last Modified:04 Nov 2014 12:25

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