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Reclassifying insulins

Beta Cell Diabetes Centre, Chelsea and Westminster Hospital, 369 Fulham Road, London, SW10 9NH, UK, michael.feher{at}chelwest.nhs.uk

Clifford J Bailey

Diabetes Research, Pharmaceutical Sciences, Aston University, Birmingham B4 7ET, UK

Insulins have hitherto been distinguished as clear (short-acting) and cloudy (long-acting). However the introduction of glargine, which is a clear long-acting insulin, has prompted the need for reclassification. In view of the increasing emphasis on intensive insulin therapy using basal-bolus regimens, a new, simple, pragmatic classification is suggested in which insulins are categorised according to the timing and purpose of administration: basal (maintenance), bolus (meal) and biphasic (mixed).

Key Words: insulin • basal insulins • bolus insulins • biphasic insulins.

References

• Krentz AJ, Bailey CJ Type 2 diabetes in practice. Roy Soc Med Press, London 2001.
• British National Formulary No 46. British Medical Association and the Royal Pharmaceutical Society of Great Britain, London 2003.
• Monthly Index of Medical Specialities, September 2003. Haymarket Medical, London, 2003.
• Balance guide to insulin. Balance, Diabetes UK, London, Sept-Oct 2003, pp 39-42.

The British Journal of Diabetes & Vascular Disease, Vol. 4, No. 1, 39-42 (2004)
DOI: 10.1177/14746514040040010701


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This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Feher, M. D Articles by Bailey, C. J Search for Related Content Social Bookmarking                         What's this?