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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2004-1-23
pubmed:abstractText
We investigated the use, in a short period, of Humalog Mix25 (Mix25) in a twice-daily administration regimen compared to a twice-daily injection therapy with Humulin 30/70 (30/70) in diabetic patients with Italian dietary habits. We studied 33 type 2 diabetic patients aged 59.1 +/- 8.1 years, BMI 29.8 +/- 2.7 kg/m2, duration of diabetes and insulin therapy of 14.4 +/- 9.8 and 4.2 +/- 4.6 years, respectively. After a 4-day lead-in period of twice-daily human insulin 30/70 treatment, patients were randomized to one of two treatment sequences: (1) a twice-daily regimen with Mix25 just 5 minutes before the morning and evening meals for 12 days, followed by a twice-daily therapy with human insulin 30/70 given 30 minutes before the morning and evening meals for an additional 12 days; or (2) the alternate sequence. Each patient underwent a mixed meal test: Humulin 30/70 was administered 30 minutes before the meal, while Mix25 was given 5 minutes before. The 2-hour post-prandial glucose concentration after breakfast was significantly lower during treatment with Mix25 than with Humulin 30/70 (157 +/- 43.2 vs. 180 +/- 43.2 mg/dl, p<0.05). The glycemic excursion after dinner on Mix25 treatment was significantly lower than with Humulin 30/70 (12.2 +/- 48.01 vs. 35.5 +/- 36.92 mg/dl, p<0.05). AUCglucose after Mix25 was lower than after Humulin 30/70. Glycemia after test meal was significantly lower with Mix25 than with Humulin 30/70. Insulin and free insulin concentrations after the test meal were significantly higher with Mix25 in comparison to Humulin 30/70. AUC serum insulin and free insulin curves after Mix25 were significantly higher than after Humulin 30/70 (p=0.028 and p=0.005, respectively). Twice-daily injections of Humalog Mix25, compared to human insulin 30/70 in type 2 diabetic patients with Italian dietary habits, provide improved and lasting post-prandial glycemic control, with the great convenience of the injection just before the meal.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0940-5429
pubmed:author
pubmed:issnType
Print
pubmed:volume
40
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
187-92
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:14740279-Biphasic Insulins, pubmed-meshheading:14740279-Cross-Over Studies, pubmed-meshheading:14740279-Diabetes Mellitus, Type 1, pubmed-meshheading:14740279-Diabetes Mellitus, Type 2, pubmed-meshheading:14740279-Drug Administration Schedule, pubmed-meshheading:14740279-Eating, pubmed-meshheading:14740279-Female, pubmed-meshheading:14740279-Food Habits, pubmed-meshheading:14740279-Humans, pubmed-meshheading:14740279-Hypoglycemic Agents, pubmed-meshheading:14740279-Injections, Subcutaneous, pubmed-meshheading:14740279-Insulin, pubmed-meshheading:14740279-Insulin, Isophane, pubmed-meshheading:14740279-Insulin Lispro, pubmed-meshheading:14740279-Italy, pubmed-meshheading:14740279-Male, pubmed-meshheading:14740279-Middle Aged, pubmed-meshheading:14740279-Research Design, pubmed-meshheading:14740279-Time Factors
pubmed:year
2003
pubmed:articleTitle
Importance of premeal injection time in insulin therapy: Humalog Mix25 is convenient for improved post-prandial glycemic control in type 2 diabetic patients with Italian dietary habits.
pubmed:affiliation
Department of Internal Medicine and Metabolic Diseases, Parma Hospital, Parma, Italy.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't