Published in:
01-04-2006 | Adis Drug Profile
Insulin Glulisine
Authors:
Dean M. Robinson, Keri Wellington
Published in:
Drugs
|
Issue 6/2006
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Abstract
▴ Insulin glulisine is a rapid-acting human insulin analogue that has a faster onset of action and shorter duration of action than regular human insulin (RHI) in patients with type 1 or 2 diabetes mellitus and is efficacious in controlling prandial blood glucose levels in these patients.
▴ In large, well designed trials in patients with type 1 diabetes, insulin glulisine demonstrated a similar degree of glycaemic control, as measured by glycosylated haemoglobin (HbA1c) levels, to RHI after 12 weeks and insulin lispro after 26 weeks.
▴ Pre-meal insulin glulisine was also more effective than RHI at controlling 2-hour post-prandial glucose excursions in patients with type 1 or 2 diabetes over a period of 12 weeks.
▴ In patients with type 2 diabetes, insulin glulisine induced significantly greater reductions in HbAic levels and 2-hour post-breakfast and post-dinner blood glucose levels than RHI over a period of 26 weeks.
▴ Insulin glulisine was generally well tolerated by patients with type 1 or 2 diabetes and had a similar safety profile to insulin lispro or RHI. Severe hypoglycaemia was experienced by similar proportions of insulin glulisine or comparator insulin (insulin lispro or RHI) recipients with type 1 or type 2 diabetes.