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Annual Report 2003 Aventis - Sanofi

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Medical Background<br />

Diabetes mellitus is a condition where the body<br />

does not produce, or properly use insulin, the hormone<br />

needed to convert glucose (sugar) into energy.<br />

In a healthy, non-diabetic person, insulin acts to<br />

convert glucose (created when sweet and starchy<br />

foods are digested) into the energy needed to perform<br />

daily tasks. People with diabetes do not have<br />

enough insulin and/or are insulin-resistant and are<br />

thus unable to make this necessary conversion into<br />

energy. They therefore have high levels of unused<br />

glucose in their system, which is referred to as high<br />

blood glucose or hyperglycemia.<br />

In type 1 diabetes there is a complete defi ciency<br />

in insulin production and secretion. Impaired insulin<br />

secretion occurs when a person’s immune system<br />

attacks and destroys the beta cells in the pancreas.<br />

Therefore, type 1 diabetes is called an autoimmune<br />

disease. People with type 2 diabetes have a condition<br />

referred to as relative insulin defi ciency. While the pancreas<br />

is making insulin, there is not enough insulin<br />

being produced to adequately control glucose levels.<br />

<strong>Aventis</strong> approaches to treat diabetes<br />

Type I<br />

Type II<br />

Food<br />

Glucose<br />

Immunomodulator:<br />

DiaPep277<br />

Pancreas<br />

Pancreas<br />

Sulphonylurea:<br />

Amaryl<br />

Beta cell Beta cell<br />

destroyed<br />

Lipid<br />

cell<br />

GLP-1 Receptor<br />

agonist:<br />

AVE-0010<br />

Insulins:<br />

Lantus<br />

Apidra<br />

Exubera<br />

>> 18

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