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PI & CMI Trade Names and Active Ingredients containing insulin glulisine. 1 Documents available. Need more information on a Apidra, CMIPI, Insulin glulisine. PI & CMI Trade Names and Active Ingredients containing insulin. 42 Documents Actrapid, PI, Insulin – human (human insulin) Apidra, CMIPI, Insulin glulisine. Apidra PI MKT. #v Page 1. PRODUCT INFORMATION. APIDRA APIDRA [insulin glulisine injection {rDNA origin}] is a recombinant human insulin .

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You may need urgent medical attention or hospitalisation. Leave the needle in the vial. Insert the needle into the vial of cloudy NPH insulin. Patients were stratified into two groups of 10 patients each: This review appraises the current available studies and reviews on insulin glulisine in children.

Each treatment group showed a slight increase in mean HbA 1c over the 12 weeks 0. Do not attempt to replace the cartridge in a pre-filled disposable pen.

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Atherosclerosis in childhood and adolescents type 1 diabetes: Medicines that may increase the blood sugar lowering effect of Apidra include:.

Patient satisfaction There are no data relating to treatment satisfaction in patients on glulisine versus RHI.

Few studies have compared the rapid-acting insulin analogs in this population but limited data indicate that a;idra is as effective as lispro when used in a basal—bolus regimen.

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If you miss a dose – Hyperglycaemia If you forget to take your insulin dose check your blood sugar level as soon as possible. Never use an injection pen if apidga is damaged or if you are not sure that it is working properly. European Insulin Aspart Study Group. Additional searching was made by cross referencing original articles and reviews.

Choose a site for injection. Type 1 diabetes mellitus is one of the most common chronic diseases in children in the developed world. Closely monitor blood glucose in all patients treated with insulin.

However, a number of studies, mainly in adults, have shown higher satisfaction in subjects on lispro or aspart compared with RHI. This is because you could choke.

Lispro is created by substituting proline for lysine at position B28 and lysine for proline at position B29, effectively reversing the amino acids sequence at positions 28 and 29 of the insulin beta-chain Figure 3. Health-related quality-of-life results from multinational clinical trials of insulin lispro: Ask your doctor, pharmacist or diabetes educator for help.

Some of the symptoms of an allergic reaction may include:. Other side effects not listed above may also occur in some people.

All medicines have risks and benefits. Lipodystrophy and weight gain can each occur in adult subjects on long-term glulisine therapy.

The role of insulin glulisine to improve glycemic control in children with diabetes mellitus

There are no documented safety concerns with insulin glulisine use in children in a subcutaneous basal-bolus regimen. Symptoms of mild to moderate hyperglycaemia include:.


The amino acid substitutions of glulisine and other rapid-acting insulin analogs promote monomer stability, allowing for rapid dissociation and absorption after subcutaneous injection. Sanofi US reserves the right to rescind, revoke, or amend the program without notice.

Apidra –

Efficacy An Ovid Medline search of the published literature found a limited number of articles on the use of glulisine among pediatric ip. Insulin analogs were first available for clinical use ina major advantage being reduced hypoglycemic episodes compared with regular xpidra insulin RHI; Figure 1. This review will describe the pharmacokinetic and pharmacodynamic studies, available in children.

This will reduce the chance of local skin reactions developing. Alcohol may mask the symptoms of hypoglycaemia.

Follow up with extra carbohydrates, e. A week, multicenter, centrally randomized noninferiority trial compared the efficacy of glulisine with lispro in children aged 4 to 17 years with type 1 diabetes treated with basal insulin either glargine once daily or NPH twice daily.