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Assistant Professor of Pharmacy Practice, Department of Pharmacy Practice, School of PharmacyBoston, Massachusetts College of Pharmacy and Health Sciences; Clinical Pharmacy Faculty, Certified Diabetes Educator, Tufts University Family Medicine Residency Program, Boston, MA
Assistant Professor of Pharmacy Practice, Department of Pharmacy Practice, School of PharmacyBoston, Massachusetts College of Pharmacy and Health Sciences; Walgreens/MCPHS Community Pharmacy Practice Residency Program, Boston
Reprints: Dr. Goldman-Levine, Massachusetts College of Pharmacy and Health Sciences, 179 Longwood Ave., Boston, MA 02115-5804, fax 617/732-2244, jgoldman-levine{at}bos.mcphs.edu
OBJECTIVE: To review the pharmacology, pharmacokinetics, clinical trial data, adverse effects, and role in therapy of insulin detemir.
DATA SOURCES: Articles and meeting abstracts were identified through searches of MEDLINE (1996June 2004), EMBASE (1980June 2004), and International Pharmaceutical Abstracts (1970June 2004) databases, and unpublished information was provided by the manufacturer.
STUDY SELECTION AND DATA EXTRACTION: All available studies relating to insulin detemir's pharmacology were selected. Only human studies were used for pharmacokinetic, drug interaction, efficacy, and safety data.
DATA SYNTHESIS: Insulin detemir is a basal insulin analog that has been shown to improve glycemic control in patients with type 1 and type 2 diabetes.
CONCLUSIONS: Insulin detemir offers some benefits over NPH for use as basal insulin in patients with type 1 and type 2 diabetes.
Key Words: basal insulin, detemir, Levemir, NN304
Published Online, January 18, 2005. www.theannals.com, DOI 10.1345/aph.1E334
THIS ARTICLE IS APPROVED FOR CONTINUING EDUCATION CREDIT
ACPE UNIVERSAL PROGRAM NUMBER: 407-000-05-011-H01
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