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Pharmacodynamic Evaluation: Diabetic Methodologies

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Drug Discovery and Evaluation: Methods in Clinical Pharmacology
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Abstract

Here, the new aspects of diabetes methodology will be reviewed with reference to injection therapy, using analog insulins, GLP1 agonists (incretin mimetics), and the coformulation of incretin mimetics and insulins in the same solution. The options of diabetes therapy with sensor-augmented insulin pumps and the clinical pharmacology of bihormonal insulin pumps dispensing insulin and glucagon as required will be presented (bionic pumps). The specific aspect of advanced insulin pump therapy is the use of algorithms which control the insulin infusion rate and initiate shutdown of insulin infusion when impending hypoglycemia is detected. Bionic pumps (bihormonal) may also provide a stable glucagon solution for fine-tuning of glucose regulation and emergency release, in case of hypoglycemia developing rapidly or inadvertently, in particular during sleep at night time.

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Sandow, J. (2020). Pharmacodynamic Evaluation: Diabetic Methodologies. In: Hock, F., Gralinski, M. (eds) Drug Discovery and Evaluation: Methods in Clinical Pharmacology. Springer, Cham. https://doi.org/10.1007/978-3-319-56637-5_33-1

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