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Updated: Jul 15, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
New technologies and therapies in the management of diabetes
1University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78229-3900, USA. curtis.triplitt@uhs-sa.com
Abstract:
Although there are numerous effective pharmacotherapeutic agents available to treat type 2 diabetes, 5% to 10% of the population with diabetes experience secondary failure. To help combat this issue, it is imperative that clinicians understand the limitations of some current therapies. Secondary failure can be due to decreasing beta cell function, poor adherence to treatment, weight gain, reduction of exercise, changes in diet, or illness. Glycemic control and cardiovascular risk reduction are of paramount concern; however, the nonglycemic effects of several new therapies to treat diabetes may be advantageous and positively affect the long-term cost of therapy. The discoveries of amylin and glucagonlike peptide-1 have furthered our understanding of the abnormalities involved in diabetes, enabling the development of additional therapeutic options. Incretin-based therapy, including incretin mimetics such as exenatide and the yet-to-be-approved dipeptidyl peptidase-4 inhibitors, and new basal and inhaled insulin may change the way we currently treat type 2 diabetes.
Insights
Secondary failure affects 5-10% of type 2 diabetes patients. New therapies targeting incretin pathways and advanced insulins offer improved glycemic control and potential cost benefits.
Area of Science:
- Endocrinology
- Pharmacology
- Metabolic Diseases
Background:
- Type 2 diabetes pharmacotherapy faces secondary failure in 5-10% of patients.
- Understanding limitations of current treatments is crucial for effective diabetes management.
- Factors contributing to secondary failure include declining beta cell function and lifestyle changes.
Purpose of the Study:
- To review current therapeutic limitations in type 2 diabetes.
- To explore the impact of novel pharmacotherapeutic agents.
- To highlight the significance of non-glycemic effects and emerging treatment options.
Main Methods:
- Literature review of current type 2 diabetes pharmacotherapies.
- Analysis of factors contributing to secondary treatment failure.
- Examination of recent advancements in diabetes treatment, including incretin-based therapies and new insulin formulations.
Main Results:
- Secondary failure in type 2 diabetes is multifactorial.
- Emerging therapies offer potential advantages beyond glycemic control.
- Incretin mimetics and novel insulins represent significant therapeutic advancements.
Conclusions:
- New therapeutic strategies, including incretin-based treatments and advanced insulins, show promise for managing type 2 diabetes.
- Consideration of non-glycemic effects is important for long-term cost-effectiveness and patient outcomes.
- Further research into these novel agents is warranted to optimize type 2 diabetes care.
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Assessment:
Hypoglycemia and Glucagon