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Vascular effects of rapid-acting insulin analogs in the diabetic patient: a review
Review
(10625) Views (1125) Full article downloads
Authors: Steve Fordan, Philip Raskin
Published Date February 2009
Volume 2009:5 Pages 225 - 231
DOI: http://dx.doi.org/10.2147/VHRM.S3402
Steve Fordan, Philip Raskin
Department of Medicine, Division, of Endocrinology, University of Texas, Southwestern Medical Center, Dallas, TX, USA
Abstract: The insulin analogs lispro, aspart, and glulisine are the only commercially available rapid-acting insulins to treat diabetes. We review the evidence for treating hyperglycemia, using insulin, and specifically using rapid-acting analogs in diabetic individuals, on the prevention of vascular events. We review the beneficial effects of insulin on the vascular system, which include vasodilation and anti-inflammatory actions. The effects of treating hyperglycemia and intensive blood glucose control on vascular outcomes are reviewed.
Keywords: lispro, aspart, glulisine, nitric oxide synthetase, nuclear factor kappa B
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