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Biotechnology for
Diabetes (2005)
The disease
Diabetes is a metabolic disorder defined by a chronic excess of sugar in the blood. It is caused by absence of the secretion of insulin (a hormone which normally regulates the rate of blood sugar) or a decrease in its efficacy. sheaths in the brain and spinal cord.
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How many people are affected ?
There are approximately 150 million diabetics throughout the world today. Because of the increasing rates of obesity and sedentary life-styles, this figure could double in the next 20 years.
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How many people die from the disease?
Currently updated...
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Living with the disease
The complications of diabetes are serious and irreversible. The excess sugar damages blood vessels which then no longer irrigate organs correctly and they are slowly destroyed. In developed countries, diabetes is the first cause of blindness and kidney transplant.
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Treatment
Témoignage patient de
Classical appoaches
After the discovery of the role of insulin in the 1920’s, diabetics began injecting bovine and porcine insulins. In addition to the difficulty of production and purification, these insulins of animal origin carried a small risk of reaction of the patient’s immune system because of the minimal differences with human insulin. The principal limitation of these animal origin insulins is the poor blood sugar concentration control leading to major complications.
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Biotech revolutions
Insulin of human origin began to be marketed in the early 1980’s and was the first application of Biotechnology in the field of medicine. It gave diabetics access to an insulin identical to human insulin and which was perfectly pure. The many innovations introduced since then have produced insulins or insulin analogues which offer rates of insulin in the blood reproducing the normal variations over a period of 24 hours, and required to avoid damage to organs.
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Drugs currently available
There are numerous forms of insulin or of insulin analogues produce as recombinant protein: human insulin strickly speaking, and modified analogues, such insulin-lispro, insulin-glargine and insulin-detemir. These proteins are then introduced into medical preparations and put on the market by a number of different pharmaceutical companies.
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Number of patients treated
In France, more than 300,000 diabetics receive treatment with insulin. They have either type 1 diabetes, strictly dependent on insulin, or type 2 diabetes, where their blood sugar rate is not sufficiently corrected by the drugs.
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Future
The new developments in insulin treatment are essentially concerned with new methods of administration (insulin taken orally or by inhalation) so as to avoid repeated injections.
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Costs to society
The cost of diabetes is considerable and represents at least 5% of health care costs in the principal industrialized countries (i.e. € 5.7 billion in France).
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