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    • 8. 发明申请
    • ORAL INSULIN THERAPIES AND PROTOCOL
    • 口服胰岛素治疗和协议
    • WO2004080401A2
    • 2004-09-23
    • PCT/US2004006943
    • 2004-03-05
    • EMISPHERE TECH INCARBIT EHUDGOLDBERG MICHAELMAJURU SHINGAI
    • ARBIT EHUDGOLDBERG MICHAELMAJURU SHINGAI
    • A61K20060101A61K6/00A61K9/20A61K31/00A61K38/28A61K45/06A61K47/16A61P3/10A61K
    • A61K9/2009A61K9/2013A61K38/28A61K45/06
    • Methods for treating impaired glucose tolerance and early and late stage diabetes in mammals, for prophylactically sparing beta-cell function, aiding in preventing beta-cell death, preventing the onset of overt diabetes in a mammal with type 2 diabetes, treating the current level of glycemic control dysfunction of a mammal with impaired glucose tolerance or diabetes, comprising orally administering insulin and a delivery agent that facilitates insulin absorption from the gastrointestinal tract at the time of or shortly before mealtime, e.g., within about 10 minutes prior to ingestion of a meal, on a chronic basis. The methods also comprise, in addition to administering a rapid-acting insulin to provide a first insulin peak, administering a slow acting insulin to provide a second insulin peak occurring at a later time but of a longer duration. These methods achieve improved glycemic control without the risks of hypoglycemia, hyperinsulinemia and weight gain and the need for frequent blood glucose monitoring that are normally associated with insulin therapy.
    • 用于治疗哺乳动物葡萄糖耐量异常和早期和晚期糖尿病的方法,用于预防性节省β-细胞功能,有助于预防β-细胞死亡,预防2型糖尿病哺乳动物的明显糖尿病发作,治疗目前的水平 具有葡萄糖耐量降低或糖尿病的哺乳动物的血糖控制功能障碍,包括在摄食之前或之后约10分钟内口服胰岛素和促进胰岛素从胃肠道吸收的输送剂 ,长期的。 除了施用快速作用的胰岛素以提供第一胰岛素峰之外,所述方法还包括施用缓慢作用的胰岛素以提供在稍后时间但持续时间更长的时间发生的第二胰岛素峰。 这些方法可以改善血糖控制,没有低血糖,高胰岛素血症和体重增加的风险,以及通常与胰岛素治疗相关的频繁血糖监测的需要。