Race/ethnicity and challenges for optimal insulin therapy

AimsWe aimed to review insulin dosing recommendations, insulin regulation and its determinants, glycaemic response to carbohydrates, and the efficacy and safety of insulin therapy in different races/ethnicities. MethodsWe searched for articles in PubMed and Google Scholar databases up to 31 March 20...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Nayla Cristina, do Vale Moreira (author)
مؤلفون آخرون: Ceriello, Antonio (author), Basit, Abdul (author), Balde, Naby (author), Mohan, V. (author), Gupta, Ritesh (author), Misra, Anoop (author), Bhowmik, Bishwajit (author), Lee, Moon K. (author), Zuo, Hui (author), Shi, Zumin (author), Wang, Youfa (author), Montenegro, Renan M. (author), Fernandes, Virgínia Oliveira (author), Colagiuri, Stephen (author), Boulton, Andrew J.M. (author), Hussain, Akhtar (author)
التنسيق: article
منشور في: 2021
الموضوعات:
الوصول للمادة أونلاين:http://dx.doi.org/10.1016/j.diabres.2021.108823
https://www.sciencedirect.com/science/article/pii/S0168822721001820
http://hdl.handle.net/10576/20601
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_version_ 1857415084453658624
author Nayla Cristina, do Vale Moreira
author2 Ceriello, Antonio
Basit, Abdul
Balde, Naby
Mohan, V.
Gupta, Ritesh
Misra, Anoop
Bhowmik, Bishwajit
Lee, Moon K.
Zuo, Hui
Shi, Zumin
Wang, Youfa
Montenegro, Renan M.
Fernandes, Virgínia Oliveira
Colagiuri, Stephen
Boulton, Andrew J.M.
Hussain, Akhtar
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Nayla Cristina, do Vale Moreira
Ceriello, Antonio
Basit, Abdul
Balde, Naby
Mohan, V.
Gupta, Ritesh
Misra, Anoop
Bhowmik, Bishwajit
Lee, Moon K.
Zuo, Hui
Shi, Zumin
Wang, Youfa
Montenegro, Renan M.
Fernandes, Virgínia Oliveira
Colagiuri, Stephen
Boulton, Andrew J.M.
Hussain, Akhtar
author_role author
dc.creator.none.fl_str_mv Nayla Cristina, do Vale Moreira
Ceriello, Antonio
Basit, Abdul
Balde, Naby
Mohan, V.
Gupta, Ritesh
Misra, Anoop
Bhowmik, Bishwajit
Lee, Moon K.
Zuo, Hui
Shi, Zumin
Wang, Youfa
Montenegro, Renan M.
Fernandes, Virgínia Oliveira
Colagiuri, Stephen
Boulton, Andrew J.M.
Hussain, Akhtar
dc.date.none.fl_str_mv 2021-06-13T06:19:27Z
2021-05-31
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://dx.doi.org/10.1016/j.diabres.2021.108823
do Vale Moreira NC, Ceriello A, Basit A, Balde N, Mohan V, Gupta R, Misra A, Bhowmik B, Lee MK, Zuo H, Shi Z, Wang Y, Montenegro RM, Fernandes VO, Colagiuri S, Boulton AJM, Hussain A. Race/ethnicity and challenges for optimal insulin therapy. Diabetes Res Clin Pract. 2021 Apr 20;175:108823. doi: 10.1016/j.diabres.2021.108823.
01688227
https://www.sciencedirect.com/science/article/pii/S0168822721001820
http://hdl.handle.net/10576/20601
175
dc.language.none.fl_str_mv en
dc.publisher.none.fl_str_mv Elsevier
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Race
Ethnicity
Diabetes
Insulin sensitivity
Insulin resistance
Insulin therapy
dc.title.none.fl_str_mv Race/ethnicity and challenges for optimal insulin therapy
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description AimsWe aimed to review insulin dosing recommendations, insulin regulation and its determinants, glycaemic response to carbohydrates, and the efficacy and safety of insulin therapy in different races/ethnicities. MethodsWe searched for articles in PubMed and Google Scholar databases up to 31 March 2021, with the following keywords: “ethnicity”, “diabetes”, “insulin”, “history of insulin”, “insulin therapy”, “food/rice”, “carbohydrate intake”, “insulin resistance”, “BMI”, “insulin dosing”, “insulin sensitivity”, “insulin response”, “glycaemic index”, “glycaemic response”, “efficacy and safety”, with interposition of the Boolean operator “AND”.In addition, we reviewed the reference lists of the articles found. ResultsThe differential effect of race/ethnicity has not yet been considered in current insulin therapy guidelines. Nevertheless, body size and composition, body mass index, fat distribution, diet, storage, and energy expenditure vary significantly across populations. Further, insulin sensitivity, insulin response, and glycaemicresponse to carbohydrates differ by ethnicity. These disparities may lead to different insulin requirements, adversely impacting the efficacy and safety of insulin therapy among ethnic groups. ConclusionsRace/ethnicity affects glucose metabolism and insulin regulation.Until now, international guidelines addressing racial/ethnic-specific clinical recommendations are limited. Comprehensive updated insulin therapy guidelines by ethnicity are urgently needed.
eu_rights_str_mv openAccess
format article
id qu_5a85b30ff914c41eb45d2ef42517f7a0
identifier_str_mv do Vale Moreira NC, Ceriello A, Basit A, Balde N, Mohan V, Gupta R, Misra A, Bhowmik B, Lee MK, Zuo H, Shi Z, Wang Y, Montenegro RM, Fernandes VO, Colagiuri S, Boulton AJM, Hussain A. Race/ethnicity and challenges for optimal insulin therapy. Diabetes Res Clin Pract. 2021 Apr 20;175:108823. doi: 10.1016/j.diabres.2021.108823.
01688227
175
language_invalid_str_mv en
network_acronym_str qu
network_name_str Qatar University repository
oai_identifier_str oai:qspace.qu.edu.qa:10576/20601
publishDate 2021
publisher.none.fl_str_mv Elsevier
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rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
spelling Race/ethnicity and challenges for optimal insulin therapyNayla Cristina, do Vale MoreiraCeriello, AntonioBasit, AbdulBalde, NabyMohan, V.Gupta, RiteshMisra, AnoopBhowmik, BishwajitLee, Moon K.Zuo, HuiShi, ZuminWang, YoufaMontenegro, Renan M.Fernandes, Virgínia OliveiraColagiuri, StephenBoulton, Andrew J.M.Hussain, AkhtarRaceEthnicityDiabetesInsulin sensitivityInsulin resistanceInsulin therapyAimsWe aimed to review insulin dosing recommendations, insulin regulation and its determinants, glycaemic response to carbohydrates, and the efficacy and safety of insulin therapy in different races/ethnicities. MethodsWe searched for articles in PubMed and Google Scholar databases up to 31 March 2021, with the following keywords: “ethnicity”, “diabetes”, “insulin”, “history of insulin”, “insulin therapy”, “food/rice”, “carbohydrate intake”, “insulin resistance”, “BMI”, “insulin dosing”, “insulin sensitivity”, “insulin response”, “glycaemic index”, “glycaemic response”, “efficacy and safety”, with interposition of the Boolean operator “AND”.In addition, we reviewed the reference lists of the articles found. ResultsThe differential effect of race/ethnicity has not yet been considered in current insulin therapy guidelines. Nevertheless, body size and composition, body mass index, fat distribution, diet, storage, and energy expenditure vary significantly across populations. Further, insulin sensitivity, insulin response, and glycaemicresponse to carbohydrates differ by ethnicity. These disparities may lead to different insulin requirements, adversely impacting the efficacy and safety of insulin therapy among ethnic groups. ConclusionsRace/ethnicity affects glucose metabolism and insulin regulation.Until now, international guidelines addressing racial/ethnic-specific clinical recommendations are limited. Comprehensive updated insulin therapy guidelines by ethnicity are urgently needed.Elsevier2021-06-13T06:19:27Z2021-05-31Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1016/j.diabres.2021.108823do Vale Moreira NC, Ceriello A, Basit A, Balde N, Mohan V, Gupta R, Misra A, Bhowmik B, Lee MK, Zuo H, Shi Z, Wang Y, Montenegro RM, Fernandes VO, Colagiuri S, Boulton AJM, Hussain A. Race/ethnicity and challenges for optimal insulin therapy. Diabetes Res Clin Pract. 2021 Apr 20;175:108823. doi: 10.1016/j.diabres.2021.108823.01688227https://www.sciencedirect.com/science/article/pii/S0168822721001820http://hdl.handle.net/10576/20601175enhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:qspace.qu.edu.qa:10576/206012024-07-23T11:23:42Z
spellingShingle Race/ethnicity and challenges for optimal insulin therapy
Nayla Cristina, do Vale Moreira
Race
Ethnicity
Diabetes
Insulin sensitivity
Insulin resistance
Insulin therapy
status_str publishedVersion
title Race/ethnicity and challenges for optimal insulin therapy
title_full Race/ethnicity and challenges for optimal insulin therapy
title_fullStr Race/ethnicity and challenges for optimal insulin therapy
title_full_unstemmed Race/ethnicity and challenges for optimal insulin therapy
title_short Race/ethnicity and challenges for optimal insulin therapy
title_sort Race/ethnicity and challenges for optimal insulin therapy
topic Race
Ethnicity
Diabetes
Insulin sensitivity
Insulin resistance
Insulin therapy
url http://dx.doi.org/10.1016/j.diabres.2021.108823
https://www.sciencedirect.com/science/article/pii/S0168822721001820
http://hdl.handle.net/10576/20601