Understanding Insulin: The Key to Managing Diabetes

Know all about insulin and recent advances about it in this blog

HEALTH

Dr. Vishal Panchal. MD

8/24/20242 min read

a few people standing next to a glass container
a few people standing next to a glass container

What is Insulin?

Insulin is a hormone produced by the beta cells in your pancreas. Think of insulin as a key that unlocks doors on your cells, allowing glucose (sugar) to enter. Once inside, glucose is used to provide energy to your body. If the key (insulin) doesn’t work properly or isn’t there, glucose stays in your blood instead of going into the cells, leading to diabetes.

Types of Diabetes:

- Type 1 Diabetes: Your body doesn’t make insulin, so the glucose can’t enter the cells. This is like having no key at all.

- Type 2 Diabetes: Your body makes insulin, but it either doesn’t work well, or there isn’t enough. This is like having a key that doesn’t fit the lock correctly.

Different Types of Insulin:

To help people with diabetes manage their blood sugar levels, there are different types of insulin available. Here’s a simple breakdown:

1. Rapid-Acting Insulin: Starts working quickly, within 2.5 to 20 minutes after injection. You can take this type just before or after meals. Examples include Humalog, NovoRapid, and Fiasp.

2. Short-Acting Insulin: Takes about 30 minutes to start working. It’s also taken before meals. Examples include Actrapid and Humulin S.

3. Intermediate-Acting Insulin: Starts working in about 60–90 minutes and lasts longer. Examples include Humulin I and Insulatard.

4. Long-Acting Insulin: Releases insulin slowly and steadily throughout the day. Examples include Lantus, Levemir, and Tresiba.

5. Mixed Insulin: A combination of rapid-acting or short-acting insulin with intermediate-acting insulin, giving you coverage for meals and throughout the day. Examples include Humalog Mix and NovoMix.

6. Inhaled Insulin: Taken using an inhaler, it starts working within 12–15 minutes. However, it must be used with long-acting insulin to be effective.

Recent Advances in Insulin Therapy:

Insulin therapy has come a long way, with exciting new developments that could make managing diabetes even easier:

1. Ultra-Rapid-Acting and Ultra-Long-Acting Insulin: These new insulin options act even faster or last longer than current ones, providing more flexibility and better control.

2. Basal Insulin: New basal insulins are designed to have a steady, flat effect, reducing the risk of low blood sugar and allowing for more flexible dosing times.

3. Orally Delivered Insulin: Researchers are working on pills that could deliver insulin directly to the gut, making injections unnecessary. Methods include tiny microneedles that release insulin in the intestine and other advanced delivery systems.

4. Smart Glucose-Responsive Insulins: These are part of systems that automatically adjust insulin dosing based on your blood sugar levels, using a continuous glucose monitor (CGM) and a smart algorithm. This could mean less manual dosing for people with diabetes.

5. Smart Insulin Pens: New technology in insulin pens helps track and adjust insulin doses more accurately, improving overall blood sugar management.

New Therapy on the Horizon:

Scientists are exploring a new therapy that could potentially increase the number of insulin-producing cells in the body. This treatment combines two drugs—one that helps beta cells grow and another that’s used for weight loss. In studies with mice, this therapy increased beta cells by 700% and showed significant improvement in diabetes symptoms.

So to conclude, Insulin is essential for managing diabetes, and the advances in insulin therapy are making it easier and more effective. Whether through new types of insulin, smart technology, or groundbreaking research, the future of diabetes treatment looks promising, offering hope for better control and quality of life for those living with the condition.

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