Regulation of the Human Plasma Glycemia by Means of Glucose Measurements and Subcutaneous Insulin Administration

2013 ◽  
Vol 46 (20) ◽  
pp. 524-529 ◽  
Author(s):  
P. Palumbo ◽  
P. Pepe ◽  
J.D. Kong ◽  
S.S. Kumar ◽  
S. Panunzi ◽  
...  
2002 ◽  
Vol 80 (3) ◽  
pp. 180-192 ◽  
Author(s):  
Carl I Thompson ◽  
John W Munford ◽  
Edward H Buell ◽  
Robert J Karry ◽  
Charles T Lee ◽  
...  

Two studies compared the glucose responses of 9-day-old rats given subcutaneous insulin, either continuously or via daily injection, for 10 days. In Experiment 1, implanted pellets released a total of 0, 1.9, or 5.7 U insulin/kg the first 24 h. Injected doses were larger, 0 or 8 U/kg. Injections caused no deaths, but insulin-releasing pellets caused high mortality within 24 h. Pups surviving the pellets were normoglycemic by treatment day 8. In Experiment 2, pups received 0.184 U of insulin daily, approximately 8 U/kg at 9 days, via either injection or osmotic minipump. All pups survived. Injected pups were hypoglycemic 2 h postinjection through treatment day 10, whereas pups with insulin minipumps were normoglycemic by day 5. Insulin injections, but not minipumps, lowered plasma triglycerides on day 10. To examine age differences in response to insulin, additional pups and adults received daily injections of 0 or 8 U/kg for 10 days. All survived. Insulin lowered plasma glucose more in pups than in adults and reduced triglycerides in pups but not in adults. The rapid development of normoglycemia in pups with insulin minipumps, compared with pups injected daily with the same dose, suggests that continuous early insulin may produce insulin resistance.Key words: route of insulin administration, insulin resistance, mortality, plasma glucose, development.


1981 ◽  
Vol 2 (1_suppl) ◽  
pp. 27-29 ◽  
Author(s):  
Janet M. Roscoe

A review of protocols for the administration of insulin in diabetics during CAPD in the various Toronto hospitals and from two other centers outside Canada show that they are similar but not identical. Toronto Western Hospital, Iowa Lutheran Hospital, Pitie-Salpetriere Hospital and Sunnybrook Medical Center use intraperitoneal insulin exclusively. Toronto General Hospital and the Wellesley Hospital used a combination of intraperitoneal and subcutaneous insulin. Most patients performed four exchanges daily, although some did three only. Nighttime insulin was reduced in most patients. Average insulin requirements were higher when given by intraperitoneal as opposed to subcutaneous injection. There was insufficient data to compare the control achieved with each protocol.


Metabolism ◽  
1990 ◽  
Vol 39 (6) ◽  
pp. 598-604 ◽  
Author(s):  
Giacomo Ruotolo ◽  
Piero Micossi ◽  
Gabriella Galimberti ◽  
Maria Cristina Librenti ◽  
Giovanna Petrella ◽  
...  

Diabetes Care ◽  
1986 ◽  
Vol 9 (6) ◽  
pp. 575-578 ◽  
Author(s):  
P. Micossi ◽  
M. Cristallo ◽  
M. C. Librenti ◽  
G. Petrella ◽  
G. Galimberti ◽  
...  

1926 ◽  
Vol 22 (3) ◽  
pp. 355
Author(s):  
S. Repnikov

Jrgensen and Noorden (Klin. Woch., 1925, No. 50) by observations on humans have established that subcutaneous insulin administration accelerates blood circulation in the capillaries of the skin, which acceleration lasts 4-6 hours and is replaced by a slowdown, with the expansion of capillaries.


1995 ◽  
Vol 21 (4) ◽  
pp. 291-296 ◽  
Author(s):  
Virginia Peragallo-Dittko

Investigating the rationale for a particular technique can reveal the surprising finding that some techniques are not based on scientific research. Aspiration of the insulin syringe is an example of a technique that evolved based on assumption. In a study designed to challenge the need to aspirate during insulin administration, 204 injections that were aspirated yielded no blood return. The historical and research literature supports the finding that aspiration never was proven to be a reliable indicator of correct subcutaneous needle placement. Because inadvertent intramuscular injection of insulin has been documented, diabetes educators need a reliable method to individualize insulin administration techniques to decrease the risk of incorrect needle placement. Until a reliable method is available, the literature supports lifting a skinfoldfor all subcutaneous insulin injections.


2007 ◽  
Vol 4 (2) ◽  
pp. 51-55 ◽  
Author(s):  
G Kreugel ◽  
HJM Beijer ◽  
MN Kerstens ◽  
JC ter Maaten ◽  
WJ Sluiter ◽  
...  

2010 ◽  
Vol 4 (5) ◽  
pp. 1214-1228 ◽  
Author(s):  
Matthew W. Percival ◽  
Wendy C. Bevier ◽  
Youqing Wang ◽  
Eyal Dassau ◽  
Howard C. Zisser ◽  
...  

1993 ◽  
Vol 11 (6) ◽  
pp. 622-625 ◽  
Author(s):  
Rachel L. Chin ◽  
Ricardo Martinez ◽  
Gus Garmel

2003 ◽  
Vol 5 (4) ◽  
pp. 223-233 ◽  
Author(s):  
Jian-Wen Chen ◽  
Jens Sandahl Christiansen ◽  
Torsten Lauritzen

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