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Biphasic insulin aspart is a premixed insulin analogue suspension consisting of rapid-acting soluble insulin aspart and intermediate-acting protamine-crystallized insulin aspart. This dual-action formulation is designed to provide both immediate postprandial glucose control and sustained basal glycemic coverage. Developed by Novo Nordisk and marketed under the brand name NovoMix, it is primarily indicated for the treatment of diabetes mellitus in adults, adolescents, and children. In the specific clinical context of a pilot randomized trial conducted by Consorci Sanitari Integral, biphasic insulin aspart is being evaluated as a simplified premixed insulin therapy option for patients aged 65 and older with poorly controlled type 2 diabetes mellitus, comparing its efficacy and safety against more complex basal-bolus insulin regimens.
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