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Recent Advances in Insulin
Manufacturing and Treatment
Part 1 of 3 Lectures
Lecturer
Zahraa Alaa Hasan
2021
University of Kerbala
College of Pharmacy
Department of Pharmaceutics
Overview
 Diabetes mellitus.
 Diabetes as a global and local burden.
 Diagnosis
 Management: Recent advances and near future of
insulin production and therapy.
2
Diabetes
• Diabetes mellitus is a metabolic disorder of multiple etiology
characterized by chronic hyperglycemia with disturbances of
carbohydrates, fat and protein metabolism resulting from a defect
in insulin secretion, insulin resistance, or both (WHO, 1999).
• Elevated levels of blood glucose
(or blood sugar) leads to serious damage
to the heart, blood vessels, eyes, kidneys
and nerves.
3
Types of diabetes
4
Diabetes type Description
Type 1
diabetes
β-cell destruction (mostly immune mediated) and absolute insulin
deficiency; onset most common in childhood and early adulthood.
Type 2
diabetes
relative resistance of body cells to insulin with progressive loss of β islet
cells Insulin secretion, and is strongly associated with obesity, especially
abdominal obesity. It is found primarily in older adults, but increasingly
found even in obese young adults, youth and even children. Approximately
80% of all type 2 diabetics are obese.
Gestational
diabetes
mellitus
relative glucose intolerance with hyperglycemia during pregnancy (during
second or third trimester), and can lead to significant complications of the
pregnancy. Although it may improve following delivery, it is also associated
with an increased risk of diabetes later in life.
Secondary
diabetes
• various disorders of the pancreas (cystic fibrosis, chronic pancreatitis),
• genetic defects in pancreatic β-cell function or of insulin action,
• medications (corticosteroids, anti-neoplastic drugs, anti-retroviral drugs),
• monogenic diabetes syndromes (such as neonatal diabetes and maturity-
onset diabetes of the young [MODY]).
5
Global burden
6
7
Global burden
WHO Update from the Seventy-fourth World
Health Assembly – 27 May 2021
 Noncommunicable diseases have become more prominent with
Alzheimer’s disease and diabetes.
 More than 420 million people are living with diabetes, a number that
is expected to rise to 578 million by 2030.
 One in two adults living with diabetes type 2 are undiagnosed.
 Globally, 100 years after the discovery of insulin, half of the people
with type 2 diabetes who need insulin are not receiving it.
8
9
Diabetes related numbers according to the annual
statistical report of 2020
Diabetes related numbers according to the
annual statistical report of 2020
• More than 14% of Iraqi people have diabetes mellitus (MOH, 2019).
• Insulin dependent diabetes mellitus accounts 2.02% for all out-patients in Iraq
(MOH, 2019).
10
Statistical values related to Kerbala governorate per 1000
population for the same age group.
Diabetes related criteria Female Male
Number of in-patients 741 625
Number of out-patients (in health care
centers)
13343 10806
Number of diabetes related deaths for
age 30 to less than 70 years
113 101
Diabetes Risk Factors
11
12
Signs and symptoms
13
Laboratory Tests
Laboratory
diagnosis
Blood
Tests
Urinary
Analysis
Immunological
Assay
14
15
The Discovery of Insulin
• The development of therapeutic insulin in 1921 was a landmark
breakthrough in the history of medicine.
• 100 years on, millions of lives have been saved and improved but insulin
and other diabetes medicines and care still remain beyond the reach of
many who need them.
• Dr. Frederick G. Banting wakes up in the middle of the night with the
idea for a novel experiment to isolate the internal secretion of the
pancreas to treat diabetes.
16
Dr. John J. R. Macleod / Dr. Frederick G. Banting / Charles Best / Dr. James Collip
Resources
• https://www.idf.org/aboutdiabetes/what-is-diabetes.html
• https://www.idf.org/aboutdiabetes/what-is-diabetes.html
• https://moh.gov.iq/
• http://www.phd.iq/
• https://diabetesatlas.org/en/
• https://mma.prnewswire.com/media/1028023/IDF_Infographic.jpg
• https://www.accu-chek.com.my/diabetes-basics/common-
symptoms-diabetes

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Diabetes mellitus general statistics - ZAH

  • 1. Recent Advances in Insulin Manufacturing and Treatment Part 1 of 3 Lectures Lecturer Zahraa Alaa Hasan 2021 University of Kerbala College of Pharmacy Department of Pharmaceutics
  • 2. Overview  Diabetes mellitus.  Diabetes as a global and local burden.  Diagnosis  Management: Recent advances and near future of insulin production and therapy. 2
  • 3. Diabetes • Diabetes mellitus is a metabolic disorder of multiple etiology characterized by chronic hyperglycemia with disturbances of carbohydrates, fat and protein metabolism resulting from a defect in insulin secretion, insulin resistance, or both (WHO, 1999). • Elevated levels of blood glucose (or blood sugar) leads to serious damage to the heart, blood vessels, eyes, kidneys and nerves. 3
  • 4. Types of diabetes 4 Diabetes type Description Type 1 diabetes β-cell destruction (mostly immune mediated) and absolute insulin deficiency; onset most common in childhood and early adulthood. Type 2 diabetes relative resistance of body cells to insulin with progressive loss of β islet cells Insulin secretion, and is strongly associated with obesity, especially abdominal obesity. It is found primarily in older adults, but increasingly found even in obese young adults, youth and even children. Approximately 80% of all type 2 diabetics are obese. Gestational diabetes mellitus relative glucose intolerance with hyperglycemia during pregnancy (during second or third trimester), and can lead to significant complications of the pregnancy. Although it may improve following delivery, it is also associated with an increased risk of diabetes later in life. Secondary diabetes • various disorders of the pancreas (cystic fibrosis, chronic pancreatitis), • genetic defects in pancreatic β-cell function or of insulin action, • medications (corticosteroids, anti-neoplastic drugs, anti-retroviral drugs), • monogenic diabetes syndromes (such as neonatal diabetes and maturity- onset diabetes of the young [MODY]).
  • 5. 5
  • 8. WHO Update from the Seventy-fourth World Health Assembly – 27 May 2021  Noncommunicable diseases have become more prominent with Alzheimer’s disease and diabetes.  More than 420 million people are living with diabetes, a number that is expected to rise to 578 million by 2030.  One in two adults living with diabetes type 2 are undiagnosed.  Globally, 100 years after the discovery of insulin, half of the people with type 2 diabetes who need insulin are not receiving it. 8
  • 9. 9 Diabetes related numbers according to the annual statistical report of 2020
  • 10. Diabetes related numbers according to the annual statistical report of 2020 • More than 14% of Iraqi people have diabetes mellitus (MOH, 2019). • Insulin dependent diabetes mellitus accounts 2.02% for all out-patients in Iraq (MOH, 2019). 10 Statistical values related to Kerbala governorate per 1000 population for the same age group. Diabetes related criteria Female Male Number of in-patients 741 625 Number of out-patients (in health care centers) 13343 10806 Number of diabetes related deaths for age 30 to less than 70 years 113 101
  • 12. 12
  • 15. 15
  • 16. The Discovery of Insulin • The development of therapeutic insulin in 1921 was a landmark breakthrough in the history of medicine. • 100 years on, millions of lives have been saved and improved but insulin and other diabetes medicines and care still remain beyond the reach of many who need them. • Dr. Frederick G. Banting wakes up in the middle of the night with the idea for a novel experiment to isolate the internal secretion of the pancreas to treat diabetes. 16 Dr. John J. R. Macleod / Dr. Frederick G. Banting / Charles Best / Dr. James Collip
  • 17. Resources • https://www.idf.org/aboutdiabetes/what-is-diabetes.html • https://www.idf.org/aboutdiabetes/what-is-diabetes.html • https://moh.gov.iq/ • http://www.phd.iq/ • https://diabetesatlas.org/en/ • https://mma.prnewswire.com/media/1028023/IDF_Infographic.jpg • https://www.accu-chek.com.my/diabetes-basics/common- symptoms-diabetes