Reader's Corner

Milestones in the treatment of diabetes with insulin    

 
The Discovery And Development Of Insulin
 
While the condition – diabetes was know to mankind for ages, it was not until 1922 that persons suffering from diabetes were treated with a specific anti-diabetic drug.
1889: Von Merring and Minkowski are known to have conducted experiments in blood sugar control.
 
1921: Banting, Best and Mcleoid officially announce that injecting pancreatic extracts indeed help in controlling the symptoms of diabetes.
 
1922: Leonard Thompson, an eight-year old boy with diabetes becomes the first human being to receive insulin at Toronto General Hospital.
 
1923: Dr Banting and Mcleoid with Charles Best get the coveted Nobel Prize.
 
1926 – 1934: Prof. J.J. Abel at John Hopkins University develops crystalline insulin and by 1934 the molecular weight of insulin is also determined.
 
1946: Isophane insulin (or what is popularly known as NPH (Neutral Protamine Hagedorn) insulin is introduced. Even in recent times, NPH insulin is the most widely used intermediate-acting insulin.

 
1955: Once again a Nobel Prize – Dr Fredric Sangar. He was the first to define the structure and amino acid sequence of insulin including species related molecular differences.
 
1970: The pioneering work of a scientist working at Novo led to the introduction of chromatographically purified insulin.
 
1978: Yet another Nobel Prize. Roslynn Yallow for the development of radio immunoassay methodology. This discovery resulted in the entire field of endocrinology moving ahead rapidly.
 
1981: The first commercial availability of Human insulin was through a biosynthetic method developed at Novo.
 
1982: The first genetically engineered human insulin was introduced by Eli-Lilly.
1984: Further research at Novo leads to the production of a single chain insulin precursor. This new method of a single precursor is now widely used to produce genetically engineered insulin irrespective of the host cell used.
 
For the past many years, attempts are being made to alter the insulin delivery mechanisms. Nasal, Oral. Research is concentrating on minimally invasive insulin- delivery techniques. Certainly this will improve compliance and so, more and more diabetics will enjoy a better quality of life and lesser long term complications of diabetes.
 

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