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Evolution of Insulin: From Human to Analog
Joseph M. Tibaldi, MD The American Journal of Medicine Volume 127, Issue 10, Pages S25-S38 (October 2014) DOI: /j.amjmed Copyright © 2014 The Author Terms and Conditions
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Figure 1 Milestones in the evolution of insulin therapy. NPH = neutral protamine Hagedorn. The American Journal of Medicine , S25-S38DOI: ( /j.amjmed ) Copyright © 2014 The Author Terms and Conditions
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Figure 2 Structure of insulin glargine, insulin detemir, and insulin degludec. The American Journal of Medicine , S25-S38DOI: ( /j.amjmed ) Copyright © 2014 The Author Terms and Conditions
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Figure 3 Structure of insulin lispro, insulin aspart, and insulin glulisine. The American Journal of Medicine , S25-S38DOI: ( /j.amjmed ) Copyright © 2014 The Author Terms and Conditions
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Figure 4 Serum insulin levels after subcutaneous injection of (A) insulin aspart, and (B) insulin glulisine, compared with human insulin in patients with type 1 diabetes. Adapted with permission from Lindholm et al51 and Rave et al.52 The American Journal of Medicine , S25-S38DOI: ( /j.amjmed ) Copyright © 2014 The Author Terms and Conditions
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Figure 5 Mean postprandial serum glucose (A) and insulin (B) profiles for patients with type 2 diabetes who received an injection of BIAsp or Mix 25 immediately before a meal or BHI 30 to 15 minutes before a meal. Reproduced with permission from Hermansen et al.72 BHI = biphasic human insulin; BIAsp = biphasic insulin aspart. The American Journal of Medicine , S25-S38DOI: ( /j.amjmed ) Copyright © 2014 The Author Terms and Conditions
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