CURRENT TRENDS AND AVAILABILITY OF INJECTABLE THERAPY IN PAKISTAN FOR MANAGEMENT OF DIABETES MELLITUS

Muhammad Shahzad Nawaz, Hafiza Shizza Rafique, Tooba Malik, Muhammad Umar Wahab, Anwaar Ul Hassan Chughtai, Muhammad Sarfraz Nawaz, M. Butt
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Abstract

Background: Diabetes is a metabolic disorder and is a growing healthcare problem in South Asian countries. The management guidelines provided by American Diabetes Association (ADA) have provided a thorough approach for the use of oral and injectable therapies. Current statistics indicate an increase in premature mortality, which poses a severe danger to global prosperity. Sulphonylureas, biguanides, alpha glucosidase inhibitors and thiazolidinediones are examples of recent generations of drugs that have been created as a result of scientific and technological developments and have a high efficacy in reducing hyperglycemia. Objectives: This communication aims to connote the trends and availability of injectable therapy in lower middle income countries. Methodology: We reviewed a number of studies (published between 2010-2020), a market survey for availability and the Drug Regulatory Authority of Pakistan official website for the registration status of newly registered injectable therapy for managing diabetes mellitus. Results: Novel classes of drugs that have been developed as potential targets for diabetes treatment drugs include Incretin mimics, Amylin analogues, GIP analogues, Peroxisome proliferator-activated receptors, and dipeptidyl peptidase-4 inhibitor. In Pakistan and other parts of the world, getting new insulin products in sufficient quantities has always been demanding. A list of imported insulin and GLP-1 products and their availability in lower middle income countries like Pakistan, India and Bangladesh is made so as to meet international standards. Conclusion: This short communicatiob shows the availability of Injectable therapy for management of diabetes in Pakistan.  
巴基斯坦糖尿病管理注射治疗的当前趋势和可得性
背景:糖尿病是一种代谢性疾病,是南亚国家日益严重的卫生保健问题。美国糖尿病协会(ADA)提供的管理指南为口服和注射治疗提供了全面的方法。目前的统计数据表明,过早死亡人数有所增加,这对全球繁荣构成严重威胁。磺脲类药物、双胍类药物、α -葡萄糖苷酶抑制剂和噻唑烷二酮类药物是最近几代药物的例子,这些药物是科技发展的结果,对降低高血糖有很高的疗效。目的:本通讯旨在介绍中低收入国家注射治疗的趋势和可得性。方法:我们回顾了大量的研究(发表于2010-2020年之间),一项市场调查的可用性和巴基斯坦药物监管局官方网站的新注册的用于管理糖尿病的注射疗法的注册状态。结果:糖尿病治疗药物的潜在靶点包括肠促胰岛素模拟物、胰淀素类似物、GIP类似物、过氧化物酶体增殖激活受体和二肽基肽酶-4抑制剂。在巴基斯坦和世界其他地区,获得足够数量的新胰岛素产品一直是一项艰巨的任务。制定了胰岛素和GLP-1进口产品清单,以及在巴基斯坦、印度、孟加拉国等中低收入国家的供应情况,以达到国际标准。结论:这个简短的交流显示了巴基斯坦糖尿病管理的注射治疗的可用性。
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