Absorption of isophane (NPH) insulin and its clinical implications.

作者: T Lauritzen , S Pramming , E A Gale , T Deckert , C Binder

DOI: 10.1136/BMJ.285.6336.159

关键词:

摘要: Absorption of 125I-NPH insulin (125I-isophane insulin) (40 IU/ml) was studied in eight diabetics given 50% and 150% their normal daily dose insulin. Insulin absorption correlated with plasma (r = 0.97, p less than 0.001) blood glucose -0.87, 0.01) concentrations. slower at higher doses, so that trebling the only doubled amount absorbed over first 24 hours. The elimination half time (t12) about five minutes. Thus, disappearance radiolabelled is a reliable quantitative index absorption; subcutaneous degradation, if present, minimal constant. Changes dise intermediate-acting further increases large variation absorption. This implies minor adjustments intermediate dosage are probably futile.

参考文章(15)
T. Deckert, B. Hansen, T. Lauritzen, J.Sandahl Christiansen, Subcutaneous degradation of insulin. Diabetologia. ,vol. 21, pp. 161- 162 ,(1981) , 10.1007/BF00251287
M. Berger, P. A. Halban, L. Girardier, J. Seydoux, R. E. Offord, A. E. Renold, Absorption kinetics of subcutaneously injected insulin. Evidence for degradation at the injection site. Diabetologia. ,vol. 17, pp. 97- 99 ,(1979) , 10.1007/BF01222209
Robert Tattersall, Edwin Gale, Patient self-monitoring of blood glucose and refinements of conventional insulin treatment The American Journal of Medicine. ,vol. 70, pp. 177- 182 ,(1981) , 10.1016/0002-9343(81)90424-1
JillD. Nelson, A.Michael Albisser, ErrolB. Marliss, Bernard Zinman, ROLE OF CONTINUOUS COMPONENT IN SUBCUTANEOUS "OPEN-LOOP" INSULIN DELIVERY The Lancet. ,vol. 315, pp. 1383- 1386 ,(1980) , 10.1016/S0140-6736(80)92654-9
H. J. G. Gundersen, Peripheral blood flow and metabolic control in juvenile diabetes. Diabetologia. ,vol. 10, pp. 225- 231 ,(1974) , 10.1007/BF00423039
BHASKAR ROY, MARGARET C.Y. CHOU, JAMES B. FIELD, Time-action characteristics of regular and NPH insulin in insulin-treated diabetics. The Journal of Clinical Endocrinology and Metabolism. ,vol. 50, pp. 475- 479 ,(1980) , 10.1210/JCEM-50-3-475
J. A. Galloway, C. T. Spradlin, R. L. Nelson, S. M. Wentworth, J. A. Davidson, J. L. Swarner, Factors Influencing the Absorption, Serum Insulin Concentration, and Blood Glucose Responses After Injections of Regular Insulin and Various Insulin Mixtures Diabetes Care. ,vol. 4, pp. 366- 376 ,(1981) , 10.2337/DIACARE.4.3.366
CHRISTIAN BINDER, Absorption of injected insulin. A clinical-pharmacological study. Pharmacology & Toxicology. ,vol. 27, pp. 1- 83 ,(2009) , 10.1111/J.1600-0773.1969.TB03069.X
B. Hansen, Susanne Linde, K. Kølendorf, Frida Jensen, Absorption of protamine-insulin in diabetic patients. I. Preparation and characterization of protamine-125I-insulin. Hormone and Metabolic Research. ,vol. 11, pp. 85- 90 ,(1979) , 10.1055/S-0028-1092685