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Related Concept Videos

Insulin Formulations: Types and Delivery01:27

Insulin Formulations: Types and Delivery

277
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...
277
Insulin: Dosing Regimen and Adverse Effects01:16

Insulin: Dosing Regimen and Adverse Effects

268
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
268
Insulin: Biosynthesis, Chemistry, and Preparation01:25

Insulin: Biosynthesis, Chemistry, and Preparation

569
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...
569

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Improving IV Insulin Administration in a Community Hospital
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Registration and Real-Life Studies on Automated Insulin Delivery Systems.

Halis Kaan Akturk1, Sue A Brown2, Roy W Beck3

  • 1Barbara Davis Center for Diabetes, University of Colorado Denver Anschutz Medical Campus, Aurora, Colorado, USA.

Diabetes Technology & Therapeutics
|July 1, 2025
PubMed
Summary

Automated insulin delivery (AID) systems improve glycemic control and quality of life for type 1 diabetes (T1D) patients. Real-world studies confirm the safety and effectiveness of FDA-approved AID systems across all age groups.

Keywords:
CGMCSIIHbA1cartificial pancreashyperglycemiahypoglycemiainsulin pumptime below rangetime in range

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Area of Science:

  • Endocrinology
  • Metabolic Diseases
  • Biomedical Engineering

Background:

  • Intensive insulin therapy (IIT) demonstrated benefits for type 1 diabetes (T1D) complications but increased hypoglycemia risk.
  • Automated insulin delivery (AID) systems are now standard care for T1D management.

Purpose of the Study:

  • To review registration and real-life studies of FDA-approved AID systems for T1D.
  • To assess the safety and efficacy of AID systems in diverse patient populations.

Main Methods:

  • Systematic literature search of MEDLINE (PubMed) database.
  • Inclusion of studies with longest duration and largest participant numbers.
  • Review of both registration and real-world data for AID systems.

Main Results:

  • AID systems have improved glycemic metrics (HbA1c, time in range, time below range) and quality of life in T1D patients.
  • Studies indicate safe and effective use of AID systems across all age groups.
  • Real-life data corroborate findings from AID system registration studies.

Conclusions:

  • FDA-approved AID systems demonstrate consistent glycemic improvements and safety in T1D management.
  • Real-world evidence validates the efficacy of AID systems reported in clinical trials.
  • AID systems represent a significant advancement in T1D care.