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[Evolution of insulin therapy: past, present, future].
D V Kurkin1, D A Bakulin2, A I Robertus3
1Moscow State University of Medicine and Dentistry of A.I. Evdokimov.
The discovery of insulin revolutionized diabetes mellitus treatment, transforming a fatal condition into a manageable one. Continuous advancements in insulin therapy have significantly improved patient quality of life over the past century.
Area of Science:
- Endocrinology
- Biochemistry
- Medical History
Background:
- The 100th anniversary of insulin discovery highlights its profound impact on diabetes mellitus management.
- Historically, diabetes was a rapidly fatal disease, particularly in children and adolescents.
- Insulin therapy has evolved from early animal-derived sources to sophisticated modern analogues.
Approach:
- This review chronicles the historical development and evolution of insulin therapy.
- It examines various generations of insulin, from early preparations to advanced analogues.
- The review also discusses emerging trends in insulin delivery and molecular development.
Key Points:
- Insulin's discovery by Banting, Best, and Collip saved millions of lives.
- Modern insulin analogues offer improved glycemic control and patient convenience.
- Ongoing research focuses on novel delivery systems and glucose-responsive insulin molecules.
Conclusions:
- Insulin therapy has dramatically improved the quality of life for individuals with diabetes over the last century.
- Research continues to advance insulin delivery methods and develop "smart" insulin with glucose-dependent action.
- The future of diabetes care involves more personalized and convenient insulin treatment options.
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