Implantable closed-loop glucose-sensing and insulin delivery: the future for insulin pump therapy

被引:89
作者
Renard, E [1 ]
机构
[1] Lapeyronie Hosp, Dept Endocrinol, F-34295 Montpellier 5, France
关键词
D O I
10.1016/S1471-4892(02)00216-3
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Although subcutaneous insulin infusion from portable pumps is the current optimal therapy for type 1 diabetic patients, implantable pumps using the intraperitoneal route allow increased blood glucose stability and lowered incidence of severe hypoglycemia. Subcutaneously implanted enzymatic glucose sensors provide continuous interstitial glucose monitoring, but this may differ from the real-time blood glucose levels. Preliminary investigations of intravascular enzymatic sensors demonstrate their clinical acceptability and accuracy and the possibility of developing closed-loop insulin delivery by combination with implantable pumps.
引用
收藏
页码:708 / 716
页数:9
相关论文
共 80 条
[71]  
SHAMOON H, 1995, DIABETES CARE, V18, P361
[72]   THE EFFECT OF INTENSIVE TREATMENT OF DIABETES ON THE DEVELOPMENT AND PROGRESSION OF LONG-TERM COMPLICATIONS IN INSULIN-DEPENDENT DIABETES-MELLITUS [J].
SHAMOON, H ;
DUFFY, H ;
FLEISCHER, N ;
ENGEL, S ;
SAENGER, P ;
STRELZYN, M ;
LITWAK, M ;
WYLIEROSETT, J ;
FARKASH, A ;
GEIGER, D ;
ENGEL, H ;
FLEISCHMAN, J ;
POMPI, D ;
GINSBERG, N ;
GLOVER, M ;
BRISMAN, M ;
WALKER, E ;
THOMASHUNIS, A ;
GONZALEZ, J ;
GENUTH, S ;
BROWN, E ;
DAHMS, W ;
PUGSLEY, P ;
MAYER, L ;
KERR, D ;
LANDAU, B ;
SINGERMAN, L ;
RICE, T ;
NOVAK, M ;
SMITHBREWER, S ;
MCCONNELL, J ;
DROTAR, D ;
WOODS, D ;
KATIRGI, B ;
LITVENE, M ;
BROWN, C ;
LUSK, M ;
CAMPBELL, R ;
LACKAYE, M ;
RICHARDSON, M ;
LEVY, B ;
CHANG, S ;
HEINHEINEMANN, M ;
BARRON, S ;
ASTOR, L ;
LEBECK, D ;
BRILLON, D ;
DIAMOND, B ;
VASILASDWOSKIN, A ;
LAURENZI, B .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (14) :977-986
[73]   Islet transplantation in seven patients with type 1 diabetes mellitus using a glucocorticoid-free immunosuppressive regimen. [J].
Shapiro, AMJ ;
Lakey, JRT ;
Ryan, EA ;
Korbutt, GS ;
Toth, E ;
Warnock, GL ;
Kneteman, NM ;
Rajotte, RV .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 343 (04) :230-238
[74]   Use of insulin pumps in pregnancies complicated by type 2 diabetes and gestational diabetes in a multiethnic community [J].
Simmons, D ;
Thompson, CF ;
Conroy, C ;
Scott, DJ .
DIABETES CARE, 2001, 24 (12) :2078-2082
[75]   Recent advances in treatment of youth with Type 1 diabetes: better care through technology [J].
Tamborlane, WV ;
Bonfig, W ;
Boland, E .
DIABETIC MEDICINE, 2001, 18 (11) :864-870
[76]   A subcutaneous glucose sensor with improved longevity, dynamic range, and stability of calibration [J].
Updike, SJ ;
Shults, MC ;
Gilligan, BJ ;
Rhodes, RK .
DIABETES CARE, 2000, 23 (02) :208-214
[77]   A new amperometric glucose microsensor: in vitro and short-term in vivo evaluation [J].
Ward, WK ;
Jansen, LB ;
Anderson, E ;
Reach, G ;
Klein, JC ;
Wilson, GS .
BIOSENSORS & BIOELECTRONICS, 2002, 17 (03) :181-189
[78]   Determination of time delay between blood and interstitial adipose tissue glucose concentration change by microdialysis in healthy volunteers [J].
Wientjes, KJC ;
Schoonen, AJM .
INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS, 2001, 24 (12) :884-889
[79]   Glucose sensor using a microfabricated electrode and electropolymerized bilayer films [J].
Yang, H ;
Chung, TD ;
Kim, YT ;
Choi, CA ;
Jun, CH ;
Kim, HC .
BIOSENSORS & BIOELECTRONICS, 2002, 17 (03) :251-259
[80]   Insulin lispro in CSII - Results of a double-blind crossover study [J].
Zinman, B ;
Tildesley, H ;
Chiasson, JL ;
Tsui, E ;
Strack, T .
DIABETES, 1997, 46 (03) :440-443