Dual-hormone treatment with insulin and glucagon in patients with type 1 diabetes
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Dual-hormone treatment with insulin and glucagon in patients with type 1 diabetes. / Reiband, H K; Schmidt, S; Ranjan, Ajenthen; Holst, Jens Juul; Madsbad, S; Nørgaard, K.
In: Diabetes - Metabolism: Research and Reviews (Print Edition), Vol. 31, No. 7, 2015, p. 672-9.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Dual-hormone treatment with insulin and glucagon in patients with type 1 diabetes
AU - Reiband, H K
AU - Schmidt, S
AU - Ranjan, Ajenthen
AU - Holst, Jens Juul
AU - Madsbad, S
AU - Nørgaard, K
N1 - Copyright © 2014 John Wiley & Sons, Ltd.
PY - 2015
Y1 - 2015
N2 - Intensive insulin treatment in type 1 diabetes reduces the incidence and slows the progression of microvascular and macrovascular complications; however, it is associated with an increased risk of hypoglycaemia and weight gain. In this review, we propose dual-hormone treatment with insulin and glucagon as a method for achieving near normalization of blood glucose levels without increasing hypoglycaemia frequency and weight gain. We briefly summarize glucagon pathophysiology in type 1 diabetes as well as the current applications of glucagon for the treatment of hypoglycaemia. Until now, the use of glucagon has been limited by the need for reconstitution immediately before use, because of instability of the available compounds; however, stabile compounds are soon to be launched and will render long-term intensive dual-hormone treatment in type 1 diabetes possible.
AB - Intensive insulin treatment in type 1 diabetes reduces the incidence and slows the progression of microvascular and macrovascular complications; however, it is associated with an increased risk of hypoglycaemia and weight gain. In this review, we propose dual-hormone treatment with insulin and glucagon as a method for achieving near normalization of blood glucose levels without increasing hypoglycaemia frequency and weight gain. We briefly summarize glucagon pathophysiology in type 1 diabetes as well as the current applications of glucagon for the treatment of hypoglycaemia. Until now, the use of glucagon has been limited by the need for reconstitution immediately before use, because of instability of the available compounds; however, stabile compounds are soon to be launched and will render long-term intensive dual-hormone treatment in type 1 diabetes possible.
U2 - 10.1002/dmrr.2632
DO - 10.1002/dmrr.2632
M3 - Review
C2 - 25533565
VL - 31
SP - 672
EP - 679
JO - Diabetes/Metabolism Research and Reviews
JF - Diabetes/Metabolism Research and Reviews
SN - 1520-7552
IS - 7
ER -
ID: 132047588