摘要
糖尿病是一种糖代谢紊乱,主要与胰岛素抵抗机体细胞或胰腺β-细胞分泌胰岛素有关。胰岛素主要用于调节1型糖尿病患者的糖代谢,但许多2型糖尿病患者也需要胰岛素,尤其是当他们的病情不能完全由口服降糖药控制时。因此,主要的研究正在试图改善胰岛素的提供,以使其更方便的病人,谁经历了传统的治疗程序的副作用或不遵守胰岛素方案由于多种共患病情况。通常情况下,胰岛素是通过皮下注射,这也是唯一的原因,病人的不顺应性,因为这种方法的侵入。在改善患者依从性、减少副作用、提高分娩依从性和提高胰岛素治疗的药物性能方面已经做了几次尝试。尽管在开发高效胰岛素输送系统方面面临巨大挑战,但仍开展了大量研究,以开发智能输注系统,通过眼、颊、肺、口、经皮和直肠途径输送胰岛素。因此,本综述旨在概述目前胰岛素输送系统所面临的挑战,并总结目前市场上正在发现和引进的各种新型胰岛素输送系统的最新技术进展。
关键词: 糖尿病,胰岛素装置,眼部分娩,口腔分娩,肺部分娩,口服分娩,透皮分娩,直肠分娩
图形摘要
Current Drug Targets
Title:Recent Updates on Novel Approaches in Insulin Drug Delivery: A Review of Challenges and Pharmaceutical Implications
Volume: 19 Issue: 15
关键词: 糖尿病,胰岛素装置,眼部分娩,口腔分娩,肺部分娩,口服分娩,透皮分娩,直肠分娩
摘要: Diabetes mellitus, a metabolic disorder of glucose metabolism, is mainly associated with insulin resistance to the body cells, or impaired production of insulin by the pancreatic β-cells. Insulin is mainly required to regulate glucose metabolism in type 1 diabetes mellitus patients; however, many patients with type 2 diabetes mellitus also require insulin, especially when their condition cannot be controlled solely by oral hypoglycemic agents. Hence, major research is ongoing attempting to improve the delivery of insulin in order to make it more convenient to patients who experience side effects from the conventional treatment procedure or non-adherence to insulin regimen due to multiple comorbid conditions. Conventionally, insulin is administered via subcutaneous route which is also one of the sole reasons of patient’s non-compliance due to the invasiveness of this method. Several attempts have been done to improve patient compliance, reduce side effects, improve delivery adherence, and to enhance the pharmaceutical performance of the insulin therapy. Despite facing substantial challenges in developing efficient delivery systems for insulin, vast research studies have been carried out for the development of smart delivery systems to deliver insulin via ocular, buccal, pulmonary, oral, transdermal, as well as rectal routes. Therefore, the present review was aimed to overview the challenges encountered with the current insulin delivery systems and to summarize recent advancements in technology of various novel insulin delivery systems being discovered and introduced in the current market.
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Cite this article as:
Recent Updates on Novel Approaches in Insulin Drug Delivery: A Review of Challenges and Pharmaceutical Implications, Current Drug Targets 2018; 19 (15) . https://dx.doi.org/10.2174/1389450119666180523092100
DOI https://dx.doi.org/10.2174/1389450119666180523092100 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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