ROLE OF CONTINUOUS COMPONENT IN SUBCUTANEOUS "OPEN-LOOP" INSULIN DELIVERY

作者: JillD. Nelson , A.Michael Albisser , ErrolB. Marliss , Bernard Zinman

DOI: 10.1016/S0140-6736(80)92654-9

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摘要: Abstract To determine the role of continuous component in open-loop subcutaneous insulin-infusion systems plasma-glucose and "free" immunoreactive insulin (IRI) levels were compared nine lean insulin-dependent diabetics receiving via a catheter either as premeal boluses plus infusion (SCI) or alone before meals at bedtime (SCB). Subjects first placed on intravenous closed-loop system to requirements (42±2·5 U/day) for ideal control. With diet total kept constant, identical nearly normal profiles obtained with both SCB SCI during meals. The mean excursions 68±10 mg/dl breakfast, 28±14 lunch, 32±10 dinner. Plasma-glucose remained after dinner until 3 A.M. (93±8 mg/dl), but by 7A.M. level achieved was 284±18, while that 96±11 (p

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