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Insulin glulisine, sold under the brand name Apidra among others, is a rapid-acting modified form of medical insulin used for the treatment of diabetes.It differs from human insulin in that the amino acid asparagine at position B3 is replaced by lysine and the lysine in position B29 is replaced by glutamic acid. [2]
The general form of this treatment is an intermediate-acting basal insulin with a regimen of food and insulin every 12 hours, with the insulin injection following the meal. [ 52 ] [ 67 ] [ 68 ] The most commonly used intermediate-acting insulins are NPH , also referred to as isophane, [ 69 ] [ 70 ] or Caninsulin, also known as Vetsulin, a ...
A fasting blood sugar level of ≥ 7.0 mmol / L (126 mg/dL) is used in the general diagnosis of diabetes. [17] There are no clear guidelines for the diagnosis of LADA, but the criteria often used are that the patient should develop the disease in adulthood, not need insulin treatment for the first 6 months after diagnosis and have autoantibodies in the blood.
Standard syringe delivery is also an option. It is sold under the name Apidra. The FDA-approved label states that it differs from regular human insulin by its rapid onset and shorter duration of action. [3] The differences are: replacement of B3 asparagine with lysine, replacement of B29 lysine with glutamic acid. [4]
The domain structure of GLUD1 Each domain is colored differently - Glu-BD, NAD(P)-BD, antenna, the pivot helix.The allosteric regulators are shown as sphere models. This particular structure of GLUD1 is a combination of two X-ray structures - one with a bound GTP and the second one with a bound ADP (1NQT,8AR8).
Glutamate decarboxylase or glutamic acid decarboxylase (GAD) is an enzyme that catalyzes the decarboxylation of glutamate to gamma-aminobutyric acid (GABA) and carbon dioxide (CO 2). GAD uses pyridoxal-phosphate (PLP) as a cofactor. The reaction proceeds as follows: HOOC−CH 2 −CH 2 −CH(NH 2)−COOH → CO 2 + HOOC−CH 2 −CH 2 −CH 2 NH 2
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