Vozmozhnosti primeneniya insulina detemir pri lechenii sakharnogo diabeta u beremennykh: dokazannye preimushchestva i perspektivy ispol'zovaniya


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Abstract

Proper glycemic control during pregnancy reduces the risk of maternal, fetal and neonatal complications. Therefore, insulin therapy is the mainstay of therapy of type 1 and 2 diabetes mellitus in pregnant women, as well as gestational diabetes. The purpose of the review -analysis of efficacy and safety of insulin detemir - the first basal insulin analogue approved for use during pregnancy (category B, FDA). The improved pharmacokinetic and pharmacodynamic profiles, low variability of action and great predictability of the clinical effect of insulin detemir provide the optimal glycemic control with a low risk of hypoglycemia and neutral effect on body weight. The clinical benefits of insulin detemir is confirmed by the results of clinical studies in pregnant women with diabetes mellitus that allows to recommend insulin detemir as a first-line therapy when choosing long-acting insulin for treatment of diabetes mellitus in pregnant women.

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L. A Ruyatkina

M. Yu Sorokin

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