IntroductionDiabetes mellitus is a chronic metabolic disorder characterized by high blood glucose concentrations (hyperglycemia) caused by insulin deficiency that are often combined with insulin resistance.1 Non-insulin-dependent diabetes mellitus (NIDDM) is a heterogeneous disorder, comprising milder forms of diabetes that occur predominately in adults. Most diabetic patients have NIDDM.2
AbstractBackground: Repaglinide (RPG) is an oral hypoglycemic agent with excellent bioavailability (90-98%) and a short plasma half-life (2-6 h). A full dose of RPG is required before each meal; hence, therapy may become inconvenient. Thus, the aim of the present study was to design a novel delivery system to maintain peak plasma levels of RPG for the long-term management of diabetes mellitus. Methods: Two nanoparticle formulations were prepared by combining RPG with poly (lactic-co-glycolic) acid alone or as a copolymer with methoxypolyethylene glycol (RPGNP1 and RPGNP2, respectively); both formulations were subjected to in vitro and in vivo characterization. In vivo characterization was performed in a streptozotocin (STZ)-induced diabetic male albino rats. Results: The mean particle size of the RPGNP1 and RPGNP2 formulations was 387.8 ± 11.9 and 310.2 ± 12.4 nm, respectively, with a zeta potential of )27.4 ± 0.7 and )15.7 ± 0.5 mV, respectively. The entrapment efficiency and drug content of RPGNP1 (58.7 ± 1.3% and 27.4 ± 2.3%, respectively) was better than that of RPGNP2 (45.8 ± 1.2% and 24.3 ± 1.1%, respectively). Blood glucose levels of RPGNP1-and RPGNP2-treated STZ-diabetic rats were reduced significantly (to normal levels) compared with untreated STZ-diabetic rats (P < 0.05), but there was no difference between the two treatment groups (P > 0.05). However, whereas RPGNP1 was effective for a period of only 24 h, RPGNP2 was effective for up to 1 week.
Conclusions:The results of the present study show that RPGNP2 effectively manages type 2 diabetes mellitus for up to 1 week. Surface-modified NPs could be used to improve patient compliance with drug treatment as a result of decreased dosing frequency.