Pulsatile insulin of Medicine at the University of California, Davis, led the field as a pioneer of using pulsatile insulin in the treatment of diabetes. Dr. Aoki’s work focused on the role of liver dysfunction in diabetic metabolism. He theorized that end organ damage in diabetes is caused by abnormal hepatic glucose metabolism, inadequate insulin delivery, and insulin resistance. He called his approach Metabolic Activation Therapy (MAT), which consisted of an ever-increasing baseline of insulin using Respiratory Quotient to determine the efficiency of treatment (US Patent 4,826,810). Normally, insulin is secreted from the pancreas in pulses into the portal vein which brings
Insulin lispro for postprandial glucose control. It has a shortened delay of onset, allowing slightly more flexibility than regular insulin, which requires a longer waiting period before starting a meal after injection. Both preparations should be coupled with a longer acting insulin (e.g. NPH insulin) or an insulin infusion pump for good glycemic control. Insulin lispro is an FDA approved drug used to treat people living with Type 1 diabetes or Type 2 diabetes. Insulin lispro has non-FDA labeled uses for diabetic neuropathy prevention and cardiovascular disease prevention. Common side effects include skin irritation at the site of injection, hypoglycemia, hypokalemia, and