Abstract
Background: Diabetes is one of the most common chronic metabolic disorders which affect the quality of human life worldwide. As per the WHO report, between 1980 to 2014, the number of diabetes patients increases from 108 million to 422 million, with a global prevalence rate of 8.5% per year. Diabetes is the prime reason behind various other diseases like kidney failure, stroke, heart disorders, glaucoma, etc. It is recognized as the seventh leading cause of death throughout the world. The available therapies are painful (insulin injections) and inconvenient due to higher dosing frequency. Thus, to find out a promising and convenient treatment, extensive investigations are carried out globally by combining novel carrier system (like microparticle, microneedle, nanocarrier, microbeads etc.) and delivery devices (insulin pump, stimuli-responsive device, inhalation system, bioadhesive patch, insulin pen etc.) for more precise diagnosis and painless or less invasive treatment of disease.
Objective: The review article is made with an objective to compile information about various upcoming and existing modern technologies developed to provide greater patient compliance and reduce the undesirable side effect of the drug. These devices evade the necessity of daily insulin injection and offer a rapid onset of action, which sustained for a prolonged duration of time to achieve a better therapeutic effect. Conclusion: Despite numerous advantages, various commercialized approaches, like Afrezza (inhalation insulin) have been a failure in recent years. Such results call for more potential work to develop a promising system. The novel approaches range from the delivery of non-insulin blood glucose lowering agents to insulin-based therapy with minimal invasion are highly desirable.Keywords: Diabetes, Novel drug delivery, insulin, non-invasive, insulin pen, microparticle.
Graphical Abstract
[http://dx.doi.org/10.2174/1574888X13666181002154110] [PMID: 30280677]
(b) Tol, A.; Alhani, F.; Shojaeazadeh, D.; Sharifirad, G.; Moazam, N. An empowering approach to promote the quality of life and self-management among type 2 diabetic patients. J. Educ. Health Promot., 2015, 4, 13.
[http://dx.doi.org/10.4103/2277-9531.154022] [PMID: 25861658]
(c) Shrivastava, S.R.; Shrivastava, P.S.; Ramasamy, J. Role of self-care in management of diabetes mellitus. J. Diabetes Metab. Disord., 2013, 12(1), 14.
[http://dx.doi.org/10.1186/2251-6581-12-14] [PMID: 23497559]
(d) Kaufman, N.; Khurana, I. Using digital health technology to prevent and treat diabetes. Diabetes Technol. Ther., 2016, 18(Suppl. 1), S56-S68.
[http://dx.doi.org/10.1089/dia.2016.2506] [PMID: 26836430]
(e) Peiris, D.; Sun, L.; Patel, A.; Tian, M.; Essue, B.; Jan, S.; Zhang, P. Systematic medical assessment, referral and treatment for diabetes care in China using lay family health promoters: Protocol for the SMARTDiabetes cluster randomised controlled trial. 2016, 11(1), 116.
(f) Xie, J.; Li, A.; Li, J. Advances in pH-sensitive polymers for smart insulin delivery. Macromol. Rapid Commun., 2017, 38(23)
[http://dx.doi.org/10.1002/marc.201700413]
[http://dx.doi.org/10.1016/j.jsps.2014.07.008] [PMID: 27330374]
[PMID: 18827867]
[http://dx.doi.org/10.1111/dme.12985] [PMID: 27194175]
(b) George, R.E.; Joseph, S. A review of newer treatment approaches for type-2 diabetes: Focusing safety and efficacy of incretin based therapy. Saudi Pharm. J., 2014, 22(5), 403-410.
[http://dx.doi.org/10.1016/j.jsps.2013.05.005] [PMID: 25473328]
[http://dx.doi.org/10.1186/s12944-016-0282-8] [PMID: 27405296]
[http://dx.doi.org/10.2337/dc10-S062] [PMID: 20042775]
(b) American Diabetes Association.Diagnosis and classification of diabetes mellitus. Diabetes Care, 2013, 36(Suppl. 1), S67-S74.
[http://dx.doi.org/10.2337/dc13-S067] [PMID: 23264425]
[http://dx.doi.org/10.2337/dc09-S062] [PMID: 19118289]
(b) Asmat, U.; Abad, K.; Ismail, K. Diabetes mellitus and oxidative stress-A concise review. Saudi Pharm. J., 2016, 24(5), 547-553.
[http://dx.doi.org/10.1016/j.jsps.2015.03.013] [PMID: 27752226]
[http://dx.doi.org/10.1101/cshperspect.a007708] [PMID: 22675665]
(b) Taplin, C.E.; Barker, J.M. Autoantibodies in type 1 diabetes. Autoimmunity, 2008, 41(1), 11-18.
[http://dx.doi.org/10.1080/08916930701619169] [PMID: 18176860]
[http://dx.doi.org/10.2337/dc14-S081] [PMID: 24357215]
(b) Cerf, M.E. Beta cell dysfunction and insulin resistance. Front. Endocrinol. (Lausanne), 2013, 4, 37.
[http://dx.doi.org/10.3389/fendo.2013.00037] [PMID: 23542897]
[http://dx.doi.org/10.7150/ijms.10001] [PMID: 25249787]
(b) Murea, M.; Ma, L.; Freedman, B.I. Genetic and environmental factors associated with type 2 diabetes and diabetic vascular complications. Rev. Diabet. Stud., 2012, 9(1), 6-22.
[http://dx.doi.org/10.1900/RDS.2012.9.6] [PMID: 22972441]
[http://dx.doi.org/10.1111/bcp.13226] [PMID: 28042936]
[http://dx.doi.org/10.1016/j.jconrel.2015.12.002]
[http://dx.doi.org/10.1080/17425247.2018.1471058] [PMID: 29733231]
(b) Alexander, A. Ajazuddin; Patel, R.J.; Saraf, S.; Saraf, S. Recent expansion of pharmaceutical nanotechnologies and targeting strategies in the field of phytopharmaceuticals for the delivery of herbal extracts and bioactives. J. Control. Release: Off. J. Control. Release Society, 2016, 241, 110-124.
(c) Mudshinge, S.R.; Deore, A.B.; Patil, S.; Bhalgat, C.M. Nanoparticles: Emerging carriers for drug delivery. Saudi Pharm. J., 2011, 19(3), 129-141.
[http://dx.doi.org/10.1016/j.jsps.2011.04.001] [PMID: 23960751]
[http://dx.doi.org/10.1016/j.jsps.2016.04.010] [PMID: 27275111]
[http://dx.doi.org/10.2174/1574888X13666180703143219] [PMID: 29968543]
(b) Pradhan, M.; Alexander, A.; Singh, M.R.; Singh, D.; Saraf, S.; Saraf, S. Ajazuddin; Understanding the prospective of nano-formulations towards the treatment of psoriasis. Biomed. Pharmacother., 2018, (447), 447-463.
(c) Shah, R.B.; Patel, M.; Maahs, D.M.; Shah, V.N. Insulin delivery methods: Past, present and future. Int. J. Pharm. Investig., 2016, 6(1), 1-9.
[http://dx.doi.org/10.4103/2230-973X.176456] [PMID: 27014614]
[http://dx.doi.org/10.1016/j.ijpharm.2015.12.063] [PMID: 26746800]
(b) Khare, S.; Alexander, A.; Ajaz, A.; Amit, N. Biomedical applications of nanobiotechnology for drug design, delivery and diagnostics. Res. J. Pharm. Technol, 2014, 7, 915-925.
[http://dx.doi.org/10.2174/1567201811310040008] [PMID: 23517623]
[http://dx.doi.org/10.4103/2230-973X.85966] [PMID: 23071938]
(b) Jain, D.; Raturi, R.; Jain, V.; Bansal, P.; Singh, R. Recent technologies in pulsatile drug delivery systems. Biomatter, 2011, 1(1), 57-65.
[http://dx.doi.org/10.4161/biom.1.1.17717] [PMID: 23507727]
[http://dx.doi.org/10.1016/j.jconrel.2018.03.015]
[http://dx.doi.org/10.1016/j.addr.2018.07.002] [PMID: 30415656]
[http://dx.doi.org/10.1021/acsami.5b04551] [PMID: 26134590]
(b) Timko, B.P.; Arruebo, M.; Shankarappa, S.A.; McAlvin, J.B.; Okonkwo, O.S.; Mizrahi, B.; Stefanescu, C.F.; Gomez, L.; Zhu, J.; Zhu, A.; Santamaria, J.; Langer, R.; Kohane, D.S. Near-infrared-actuated devices for remotely controlled drug delivery. Proc. Natl. Acad. Sci. USA, 2014, 111(4), 1349-1354.
[http://dx.doi.org/10.1073/pnas.1322651111] [PMID: 24474759]
[http://dx.doi.org/10.1097/MED.0000000000000345] [PMID: 28509691]
[http://dx.doi.org/10.1016/S2213-8587(16)30280-7] [PMID: 27836235]
[http://dx.doi.org/10.2337/dc12-0816] [PMID: 23193217]
[http://dx.doi.org/10.1089/dia.2012.0185] [PMID: 23046396]
[http://dx.doi.org/10.1177/1932296816680632] [PMID: 28745095]
[http://dx.doi.org/10.1016/j.jsps.2014.06.004] [PMID: 27330372]
[http://dx.doi.org/10.1089/dia.2010.0027] [PMID: 20807118]
(b) McAdams, B.H.; Rizvi, A.A. An Overview of Insulin Pumps and Glucose Sensors for the Generalist. J. Clin. Med., 2016, 5(1)E5
[http://dx.doi.org/10.3390/jcm5010005] [PMID: 26742082]
[http://dx.doi.org/10.1177/1932296814545670] [PMID: 25107708]
[http://dx.doi.org/10.1177/1932296815574547] [PMID: 25883167]
[http://dx.doi.org/10.4239/wjd.v6.i7.912] [PMID: 26185599]
[http://dx.doi.org/10.2337/dc13-2644] [PMID: 24757227]
[http://dx.doi.org/10.4137/CMED.S5534] [PMID: 22879787]
(b) Selam, J.L. Evolution of diabetes insulin delivery devices. J. Diabetes Sci. Technol., 2010, 4(3), 505-513.
[http://dx.doi.org/10.1177/193229681000400302] [PMID: 20513314]
[http://dx.doi.org/10.1089/dia.2013.0172] [PMID: 24266497]
[http://dx.doi.org/10.1186/s12889-015-2123-5] [PMID: 26259708]
(b) Bratlie, K.M.; York, R.L.; Invernale, M.A.; Langer, R.; Anderson, D.G. Materials for diabetes therapeutics. Adv. Healthc. Mater., 2012, 1(3), 267-284.
[http://dx.doi.org/10.1002/adhm.201200037] [PMID: 23184741]
[http://dx.doi.org/10.3109/03639045.2012.702346] [PMID: 22779444]
[http://dx.doi.org/10.1021/acsmacrolett.5b00018]
(b) Springsteen, G.; Wang, B. A detailed examination of boronic acid-diol complexation. Tetrahedron, 2002, 58(26), 5291-5300.
[http://dx.doi.org/10.1016/S0040-4020(02)00489-1]
[http://dx.doi.org/10.1002/adma.201502902]
(b) Kesavan, S.; Prud’homme, R.K. Rheology of guar and (hydroxypropyl) guar crosslinked by borate. Macromolecules, 1992, 25(7), 2026-2032.
[http://dx.doi.org/10.1021/ma00033a029]
[http://dx.doi.org/10.1016/j.actbio.2017.09.044] [PMID: 28974477]
[http://dx.doi.org/10.1007/s13300-013-0034-y] [PMID: 23990497]
b)Jin, J.; Sklar, G.E.; Min Sen Oh, V.; Chuen Li, S. Factors affecting therapeutic compliance: A review from the patient’s perspective. Ther. Clin. Risk Manag., 2008, 4(1), 269-286.
[PMID: 18728716]
[http://dx.doi.org/10.1517/17425247.2012.737779] [PMID: 23098366]
(b)Verma, A.; Kumar, N.; Malviya, R.; Sharma, P.K. Emerging Trends in Noninvasive Insulin Delivery. J. Pharm. (Cairo), 2014.2014378048
[http://dx.doi.org/10.1155/2014/378048] [PMID: 26556194]
[http://dx.doi.org/10.4103/0975-7406.76478] [PMID: 21430958]
(b) Nguyen, S.; Hiorth, M. Advanced drug delivery systems for local treatment of the oral cavity. Ther. Deliv., 2015, 6(5), 595-608.
[http://dx.doi.org/10.4155/tde.15.5] [PMID: 26001175]
(c) Alexander, A.; Sharma, S.; Ajaz, A.; Khan, J. Swarna, Theories and factors affecting mucoadhesive drug delivery systems. Int. J. Res. Ayurveda Pharm., 2011, 2, 1155-1161.
[http://dx.doi.org/10.15171/apb.2017.053] [PMID: 29071227]
(b) Kotagale, N.R.; Patel, C.J.; Parkhe, A.P.; Khandelwal, H.M.; Taksande, J.B.; Umekar, M.J. Carbopol 934-Sodium alginate-gelatin mucoadhesive ondansetron tablets for buccal delivery: Effect of pH modifiers. Indian J. Pharm. Sci., 2010, 72(4), 471-479.
[http://dx.doi.org/10.4103/0250-474X.73912] [PMID: 21218058]
[http://dx.doi.org/10.1007/s10439-016-1558-x] [PMID: 26864536]
[http://dx.doi.org/10.1111/j.1463-1326.2009.01039.x] [PMID: 19476477]
[http://dx.doi.org/10.1517/17425247.2.6.1097] [PMID: 16296812]
(b) Lilly Announces Update on Regulatory Submission Timing for Basal Insulin Peglispro. Eli Lilly and Company, 2015.
[http://dx.doi.org/10.1177/193229680900300323] [PMID: 20144297]
[http://dx.doi.org/10.1517/17425247.5.9.1047] [PMID: 18754753]
(b) Cernea, S.; Kidron, M.; Wohlgelernter, J.; Modi, P.; Raz, I. Comparison of pharmacokinetic and pharmacodynamic properties of single-dose oral insulin spray and subcutaneous insulin injection in healthy subjects using the euglycemic clamp technique. Clin. Ther., 2004, 26(12), 2084-2091.
[http://dx.doi.org/10.1016/j.clinthera.2004.12.001] [PMID: 15823772]
(b) Modi, P.; Mihic, M.; Lewin, A. The evolving role of oral insulin in the treatment of diabetes using a novel RapidMist System. Diabetes Metab. Res. Rev., 2002, 18(Suppl. 1), S38-S42.
[http://dx.doi.org/10.1002/dmrr.208] [PMID: 11921428]
[http://dx.doi.org/10.1002/anie.200503075] [PMID: 16676373]
[http://dx.doi.org/10.1021/ja062286z] [PMID: 16787058]
[http://dx.doi.org/10.1021/ja028650l] [PMID: 12683815]
[http://dx.doi.org/10.1016/j.biomaterials.2008.12.066] [PMID: 19176244]
[http://dx.doi.org/10.1016/j.ijpharm.2013.06.051] [PMID: 23830939]
[http://dx.doi.org/10.1016/j.biopha.2018.10.078] [PMID: 30551375]
[http://dx.doi.org/10.1177/1932296818778607] [PMID: 29848105]
[http://dx.doi.org/10.1016/j.msec.2017.12.006] [PMID: 29407146]
[http://dx.doi.org/10.1021/acsami.8b04484] [PMID: 29787231]
[http://dx.doi.org/10.1007/s13346-015-0239-x] [PMID: 26037035]
[http://dx.doi.org/10.1038/nrendo.2012.96] [PMID: 22751341]
[http://dx.doi.org/10.3164/jcbn.40.163] [PMID: 18398493]
[http://dx.doi.org/10.3923/jas.2012.502.517]
[http://dx.doi.org/10.1517/17425247.2013.821978] [PMID: 23930949]
[http://dx.doi.org/10.1016/j.ijbiomac.2013.08.020] [PMID: 23994792]
(b) Nayak, A.K.; Pal, D.; Santra, K. Development of pectinate-ispagula mucilage mucoadhesive beads of metformin HCl by central composite design. Int. J. Biol. Macromol., 2014, 66, 203-211.
[http://dx.doi.org/10.1016/j.ijbiomac.2014.02.023] [PMID: 24560618]
[http://dx.doi.org/10.1080/10611860903067301] [PMID: 19563303]
(b) Wong, C.Y.; Al-Salami, H.; Dass, C.R. Microparticles, microcapsules and microspheres: A review of recent developments and prospects for oral delivery of insulin. Int. J. Pharm., 2018, 537(1-2), 223-244.
[http://dx.doi.org/10.1016/j.ijpharm.2017.12.036] [PMID: 29288095]
[PMID: 21589795]
(b) Onal, S.; Zihnioğlu, F. Encapsulation of insulin in chitosan-coated alginate beads: Oral therapeutic peptide delivery. Artif. Cells Blood Substit. Immobil. Biotechnol., 2002, 30(3), 229-237.
[http://dx.doi.org/10.1081/BIO-120004343] [PMID: 12066877]
(c) Builders, P.F.; Kunle, O.O.; Okpaku, L.C.; Builders, M.I.; Attama, A.A.; Adikwu, M.U. Preparation and evaluation of mucinated sodium alginate microparticles for oral delivery of insulin. Eur. J. Pharm. Biopharm., 2008, 70(3), 777-783.
[http://dx.doi.org/10.1016/j.ejpb.2008.06.021]
[http://dx.doi.org/10.1016/j.ijbiomac.2014.02.014] [PMID: 24530641]
[http://dx.doi.org/10.1016/S0168-3659(97)00165-X]
(b) Bose, A.; Wong, T.W.; Singh, N. Formulation development and optimization of sustained release matrix tablet of Itopride HCl by response surface methodology and its evaluation of release kinetics. Saudi Pharm. J.: Off. Publ. Saudi Pharm. Society, 2013, 21(2), 201-213.
[http://dx.doi.org/10.1016/j.jsps.2012.03.006]
[http://dx.doi.org/10.4239/wjd.v7.i17.354] [PMID: 27660695]
(b) Kahn, S.E.; Cooper, M.E.; Del Prato, S. Pathophysiology and treatment of type 2 diabetes: Perspectives on the past, present, and future. Lancet, 2014, 383(9922), 1068-1083.
[http://dx.doi.org/10.1016/S0140-6736(13)62154-6] [PMID: 24315620]
(c) Kooti, W.; Farokhipour, M.; Asadzadeh, Z.; Ashtary-Larky, D.; Asadi-Samani, M. The role of medicinal plants in the treatment of diabetes: A systematic review. Electron. Physician, 2016, 8(1), 1832-1842.
[http://dx.doi.org/10.19082/1832] [PMID: 26955456]
[http://dx.doi.org/10.1517/13543784.10.9.1641] [PMID: 11772274]
(b) Ryan, G.J.; Jobe, L.J.; Martin, R. Pramlintide in the treatment of type 1 and type 2 diabetes mellitus. Clin. Ther., 2005, 27(10), 1500-1512.
[http://dx.doi.org/10.1016/j.clinthera.2005.10.009] [PMID: 16330288]
(c) Zhang, X.X.; Pan, Y.H.; Huang, Y.M.; Zhao, H.L. Neuroendocrine hormone amylin in diabetes. World J. Diabetes, 2016, 7(9), 189-197.
[http://dx.doi.org/10.4239/wjd.v7.i9.189] [PMID: 27162583]
(d) Adeghate, E.; Kalász, H. Amylin analogues in the treatment of diabetes mellitus: Medicinal chemistry and structural basis of its function. Open Med. Chem. J., 2011, 5(Suppl. 2), 78-81.
[http://dx.doi.org/10.2174/1874104501105010078] [PMID: 21966328]
[http://dx.doi.org/10.1016/j.actbio.2014.06.018] [PMID: 24952071]
[http://dx.doi.org/10.2174/1567201813666160204114000] [PMID: 26845559]
[http://dx.doi.org/10.3109/02652049809006846] [PMID: 9532522]
[http://dx.doi.org/10.1038/srep31593] [PMID: 27531588]
[http://dx.doi.org/10.1016/j.euprot.2014.05.003]
[http://dx.doi.org/10.3109/03639045.2015.1107090] [PMID: 26558908]
[http://dx.doi.org/10.1155/2015/340838] [PMID: 26273667]
[http://dx.doi.org/10.1177/2042018812465639] [PMID: 23185688]