Talk:Insulin analog
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[edit] Vegetable insulins
It is the most important not-commertial variant, and it is scienticlly tested, see authoritative references on the article.
- I am not sure the compounds you are discussing are true "insulin analogues". They would fall, more likely, in the category of Anti-diabetic drug.
- Can we decide without a molecular structure?
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- The clue is that it is only effective for type II diabetes, as are the sulfonylureas. They potentiate the effect of insulin, but do not replace insulin. I would think that if plants were a source of the insulin proteins they would have been exploited as a source of insulin, as were the plant based steroids that became the source of birth control pills at Syntex.
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- Yes, good clues... The usual and "effective treatment" is with concentrated extract, commercialized in a 0.5kg (~2 US dollar cheap) packed rocks, named "Pedra hume de kaĆ”". The infusion is for "more homeopatic" treatment. A good reference (start point) may be rain-tree.com/Myrcia. More recent papers are at pharm.or.jp (PDF) and ncbi.nlm.nih.gov (abstract). They cite flavanone glucosides (myrciacitrins) and acetophenone glucosides (myrciaphenones), and report inhibitory activities on aldose reductase and alphaglucosidase. -- Krauss 16 October 2006
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- "Vegetable Insulin" is an herbal extract - it is not an analog of insulin - while it "may" help in reducing glucose levels, I can find no reliable claim its structure is similiar. For this reason and based on the previous comments it should be removed. If someone can find a "vegetable insulin" that has a structure remotely like insulin then it may qualify - this does not appear to be the case now. Hichris 16:08, 16 October 2006 (UTC)
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- Yes, thank you, it is correct/consistent (except your "may" - the use of herbal extracts is not folklore!). Sorry updated here, if no evidence, the correct place (as you pointed - thanks) is Anti-diabetic drug. -- Krauss 17 October 2006
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- Sounds fine to me to include it with anti-diabetes drugs - (fyi: looking at the literature there are only a few studies done with this extract, and they are conflicting - hence the "may".) Hichris 19:31, 17 October 2006 (UTC)
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[edit] Lantus availablility
This link (http://www.pslgroup.com/dg/1cdef6.htm) contradicts Lantus's availability as occuring in 2003. Also it might be good to specify that this is US availability -- other countries may adopt earlier or later. 192.75.95.127 22:45, 9 March 2007 (UTC)
[edit] NPH?
Is NPH considered an "insulin analog" the way the drugs listed on this page are? I get the impression that the insulin molecule itself isn't modified, it's just mixed with protamine. Guy Harris 23:39, 5 September 2007 (UTC)
- Thats correct. It just has the best performing formulation, so is the standard all other formulations and analogs are compared to. --Richard Arthur Norton (1958- ) 00:45, 7 September 2007 (UTC)
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- I dispute some of this, in particular the word "best". A routine effect of "human" NPH on many diabetics is a massive peak in action around 5 hours after injection, leading to regular hypoglycaemia. Furthermore, these hypoglycaemiae are notorious amongst hypoglycaemiae for being devoid of symptoms. I don't know any academic sources for this, but a meticulous search through the archives of the newsgroup misc.health.diabetes will confirm it. Although "human" NPH supposedly lasts ~24 hours, for some users the residual activity after the first 7 or 8 hours can be vestigial indeed. Zinc insulin (Semilente, Lente and Ultralente) don't suffer these problems. "Human" NPH is thus a very useful drug for comparison with new analogs, since it is easy to show that the analogs perform better. AMackenzie (talk) 19:01, 20 April 2008 (UTC)