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National advisory board on diabetes mellitus: unsolved issues and new opportunities for diabetes treatment

https://doi.org/10.14341/DM20143129-133

Abstract

In June 2014, the national experts on diabetes mellitus discussed the opportunities to improve the efficacy and outcomes of diabetes treatment using the strategy of patient-oriented care in diabetes. Insulin degludec (Tresiba?) is a new basal ultra-long-acting insulin analogue with a flat, stable glucose-lowering profile, ultra-long duration of action (>=42 h) and less within-patient day-to-day variability in glucose-lowering effect compared with currently available basal insulins. In the clinical trial programme, insulin degludec showed a similar glycaemic control compared with insulin glargine using the same insulin dose, but with a lower risk of hypoglycaemia and a greater flexibility in the time of dosing on a daily basis, when needed. Thus, the use of insulin degludec in routine clinical practice provides an effective and improved treatment for type 1 and 2 diabetes. The simple algorithm titration of insulin degludec offers the opportunity to personalise treatment regimens according to the needs of each patient.

About the Author

Gagik Radikovich Galstyan
Endocrinology Research Centre, Moscow; Sechenov First Moscow State Medical University, Moscow
Russian Federation

MD, PhD

Head of the Department of Diabetic Foot, Diabetes Institute, Endocrinilogy Research Centre

Professor, Endocrinology and Diabetology Department of the Pediatric Faculty, Sechenov First Moscow State Medical University


Competing Interests: Профессор Галстян Г.Р. руководит отделением диабетической стопы ФГБУ ЭНЦ, принимает участие в экспертных советах, международных клинических исследованиях, а также читает лекции от компаний Astra Zeneka, Boeringer Ingelheim, Eli Lilly, MSD, Novartis, Novo Nordisk, Sanofi, Servier, Takeda.


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Review

For citations:


Galstyan G.R. National advisory board on diabetes mellitus: unsolved issues and new opportunities for diabetes treatment. Diabetes mellitus. 2014;17(3):129-133. (In Russ.) https://doi.org/10.14341/DM20143129-133

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ISSN 2072-0351 (Print)
ISSN 2072-0378 (Online)