Dr Srinivasan had enlightened all of us on the research over diabetic as
pill form to day Thank u sir And a you tube show is added as my might to
know what is is. K R IRS 20326
https://youtu.be/eYDVPmNDTeI   GILA Monster

On Fri, 20 Mar 2026 at 07:54, srinivasan mani <[email protected]>
wrote:

> My humble contribution to this discussion.
> The research into the development of oral form of Insulin is progressing.
> However the major brake through in the treatment of Diabetes is the
> development of GLP 1 or (Glucacon like peptide ) agonists.
> The history of development of this class of drugs is indeed fascinating.
> In the 90s they were impressed observing the eating habits of Gilla desert
> monsters a form of Reptiles in the southwest of USA. These reptiles would
> eat only occasionally, but can survive long . So they studied the venom of
> these Gilla monsters and , it turned out the venom had this chemical called
> Exendin and it’s mode of action was Enhancing the GLP receptors. This
> subsequently led to the development of the popular Ozempic, Wygovy etc.,
> now available. They control Diabetes and in addition they help people loose
> weight as well. The reason for that is , this class of drugs decrease the
> gastric motility and resulting in early satiety (or a feeling of fullness
> of stomach).
> There are some not too serious side effects. Now this has been the ultra
> major development in the management of Diabetes.
> In addition there is another class of oral drugs SGLT inhibitors act
> differently also has helped control Diabetes, in particular to prevent
> Kidney from Diabetes.
> So there has been considerable excitement now in achieving better control
> of the sugar in addition to preventing complications.
>
> Just a few ‘pearls ‘ from my limited knowledge of medicine.
> Srinivasan S Mani MD
>
> Get Outlook for iOS <https://aka.ms/o0ukef>
> ------------------------------
> *From:* [email protected] <
> [email protected]> on behalf of Rajaram
> Krishnamurthy <[email protected]>
> *Sent:* Thursday, March 19, 2026 9:51:32 PM
> *To:* APS Mani <[email protected]>
> *Cc:* Chittanandam V R <[email protected]>; YM <
> [email protected]>; Dr Sundar <[email protected]>; Ravi mahajan <
> [email protected]>; Venkat Giri <[email protected]>;
> SRIRAMAJAYAM <[email protected]>; Rangarajan T.N.C. <
> [email protected]>; Srinivasan Sridharan <[email protected]>;
> Mathangi K. Kumar <[email protected]>; Venkat Raman <
> [email protected]>; Rama <[email protected]>; Kerala Iyer <
> [email protected]>; Societyforservingseniors <
> [email protected]>; thatha patty <
> [email protected]>; Sanathana group <
> [email protected]>
> *Subject:* Re: diabetic news
>
> That is real strength and determination to counter the drawback.  Pranam
> KR IRS 20326
>
> On Fri, 20 Mar 2026 at 05:56, APS Mani <[email protected]> wrote:
>
> I am glad that under the 'reference' most are Japanese.  In Japan, they
> have a systematic schedule to get rid of diabetes.  I tried there for four
> decades but did not succeed.  Back in my village for more than a decade
> now, I have been free from insulin injection for the last three months.  A
> humble effort on diet, routine stretching, and simple exercises fitting to
> my present age.  Happy,  Mani
>
> On Thu, Mar 19, 2026 at 1:57 PM Rajaram Krishnamurthy <
> [email protected]> wrote:
>
> A new peptide-based drug-delivery strategy may bring scientists closer to
> an oral form of insulin.
>
> For more than 100 years, scientists have pursued the idea of delivering
> insulin as a pill. This goal has remained difficult to achieve because
> insulin breaks down in the digestive system and the intestine lacks a
> natural transport pathway that allows the hormone to enter the bloodstream.
>
> Because of these biological barriers, many people with diabetes still
> depend on daily insulin injections, which can place a significant burden on
> long-term treatment and quality of life.
>
> Researchers at Kumamoto University, led by Associate Professor Shingo Ito,
> have now developed a promising drug delivery strategy designed to overcome
> these obstacles. Their approach uses a cyclic peptide that can pass through
> the small intestine. The molecule, called the DNP peptide, helps insulin
> move across the intestinal barrier and into the body after oral
> administration.
>
> Two Complementary Strategies for Oral Delivery
>
> The researchers established two effective approaches to facilitate the
> intestinal absorption of insulin:
>
> Mixing method (interaction-based): In this approach, a modified “D-DNP-V
> peptide” was mixed with zinc-stabilized insulin hexamers. When given orally
> in several diabetes models, including chemically induced (STZ mice) and
> genetic (Kuma mice) models, the treatment quickly lowered blood glucose
> levels to the normal range. With once-daily dosing, stable glycemic control
> was maintained for three straight days.
>
> Conjugation method (covalent-based): In the second approach, the team used
> click chemistry to directly attach the DNP peptide to insulin, creating a
> “DNP–insulin conjugate.” This version produced glucose-lowering effects
> similar to those seen with the mixing method, supporting the idea that the
> peptide actively drives intestinal transport of insulin.
>
> Overcoming the Dose Barrier
>
> One of the biggest challenges in developing oral insulin has been the need
> for very large doses, often more than ten times the amount used in an
> injection. In contrast, this platform reached a pharmacological
> bioavailability of about 33–41% compared with subcutaneous injection.
>
> That finding suggests a major reduction in the amount of insulin required
> for oral use and represents an important step toward real-world clinical
> application.
>
> DNP Peptide Based Delivery Platform May Support Future Oral Insulin
> Development
>
> Engineered DNP peptides—either fused to insulin-binding peptides or
> covalently linked to insulin using click chemistry—directly enhanced
> insulin absorption in mice. These findings demonstrate that DNP peptides
> are versatile carriers for the oral delivery of macromolecular drugs,
> offering a practical way to convert injectable biopharmaceuticals into
> patient-friendly oral medicines. Credit: Chikamatsu et al.
>
> Perspective
>
> “Insulin injections remain a daily burden for many patients,” said
> Associate Professor Shingo Ito. “Our peptide-based platform offers a new
> route to deliver insulin orally and may be applicable to long-acting
> insulin formulations and other injectable biologics.”
>
> The findings were published in the international journal Molecular
> Pharmaceutics.
>
> The research team is now moving forward with translational studies.
> Planned work includes testing the system in large animal models and
> evaluating its performance in human intestinal systems.
>
> Reference: “Small Intestine-Permeable Cyclic Peptide-Based Technology
> Enables Efficient Oral Delivery and Glycemic Efficacy of Zinc-Stabilized
> Insulin Hexamer and Its Analogs in Diabetic Mice” by Shoma Chikamatsu,
> Kosei Sakaguchi, Masataka Michigami, Kimi Araki, Shoen Kume, Midori
> Tokuyasu, Takeshi Masuda, Ikuo Fujii, Sumio Ohtsuki and Shingo Ito, 24
> November 2025, Molecular Pharmaceutics.
>
> KR IRS  19326
>
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