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Related Concept Videos

Insulin Formulations: Types and Delivery01:27

Insulin Formulations: Types and Delivery

Insulin preparations are categorized by their duration of action into short-acting and long-acting types. Two strategies are used to modify insulin's absorption and pharmacokinetic profile: slowing the absorption post-subcutaneous injection, or altering human insulin's amino acid sequence or protein structure. These changes retain the insulin's ability to bind to the insulin receptor, but alter its behavior in solution or after injection.
Short-acting insulins are divided into rapid-acting...
Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin: Dosing Regimen and Adverse Effects01:16

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Insulin: Biosynthesis, Chemistry, and Preparation01:25

Insulin: Biosynthesis, Chemistry, and Preparation

The endoplasmic reticulum (ER) of pancreatic β-cells synthesizes preproinsulin, which consists of a signal peptide, A and B chains, and a C-peptide. Preproinsulin is then cleaved and folded into proinsulin, which translocates to the Golgi apparatus for sorting and packaging into secretory granules. In these granules, enzymatic clipping generates insulin and C-peptide.
Damage or functional impairment of β-cells inhibits insulin production, leading to diabetes. Diabetes treatment primarily uses...
Diabetes Mellitus: Introduction01:26

Diabetes Mellitus: Introduction

Diabetes mellitus consists of chronic metabolic disorders characterized by persistent hyperglycemia. This elevated blood glucose results from defects in insulin secretion, impaired insulin action, or both. Insulin, produced by pancreatic β-cells, is essential for maintaining glucose homeostasis by facilitating cellular glucose uptake for energy or storage. Disruptions in insulin production or function lead to glucose accumulation in the bloodstream, causing the clinical features and long-term...
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Oral Drug Delivery Systems: Continuous-Release Systems

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Related Experiment Video

Updated: May 24, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Closed-loop insulin delivery: towards improved diabetes care.

Kavita Kumareswaran1, Mark L Evans, Roman Hovorka

  • 1Metabolic Research Laboratories and NIHR Cambridge Biomedical Research Centre, Institute of Metabolic Science, University of Cambridge, Cambridge, CB2 0QQ, United Kingdom.

Discovery Medicine
|February 29, 2012
PubMed
Summary

Type 1 diabetes management is improving with artificial pancreas technology. Closed-loop insulin delivery systems show promise in controlling blood glucose and reducing hypoglycemia risk, paving the way for wider clinical use.

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Area of Science:

  • Endocrinology
  • Biomedical Engineering
  • Diabetes Technology

Background:

  • Type 1 diabetes prevalence is rising globally, necessitating advanced treatment strategies.
  • Conventional insulin therapy faces limitations due to hypoglycemia risks and daily glycemic variability.
  • Technological advancements offer new hope for improved diabetes management.

Purpose of the Study:

  • To evaluate the potential of artificial pancreas (closed-loop insulin delivery) systems in managing type 1 diabetes.
  • To assess the efficacy of closed-loop systems in improving glucose control and reducing hypoglycemia.
  • To identify current limitations and future directions for closed-loop insulin delivery systems.

Main Methods:

  • Utilizing continuous glucose monitoring (CGM) integrated with insulin pump therapy.
  • Developing and testing closed-loop insulin delivery prototypes under controlled settings.
  • Analyzing data on glucose control metrics and hypoglycemia events.

Main Results:

  • Closed-loop prototypes demonstrated improved glycemic control compared to conventional methods.
  • A significant reduction in the risk of hypoglycemia was observed with closed-loop systems.
  • Current limitations include CGM accuracy and subcutaneous insulin delivery delays.

Conclusions:

  • Artificial pancreas technology holds significant promise for enhancing type 1 diabetes care.
  • Further research and development are needed to overcome current technological limitations.
  • Outpatient evaluations are crucial for advancing closed-loop systems toward clinical practice.