U-500 INSULIN IN THE TREATMENT OF ANTIBODY-MEDIATED INSULIN RESISTANCE

被引:22
作者
NATHAN, DM
AXELROD, L
FLIER, JS
CARR, DB
机构
[1] MASSACHUSETTS GEN HOSP, MED SERV, BOSTON, MA 02114 USA
[2] BETH ISRAEL HOSP, MED SERV, BOSTON, MA 02215 USA
[3] HARVARD UNIV, SCH MED, DEPT MED, BOSTON, MA 02115 USA
关键词
D O I
10.7326/0003-4819-94-5-653
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Three patients with antibody-mediated insulin resistance were treated with U-500 regular insulin s.c. Insulin requirements decreased dramatically (55-75%) when therapy was changed from U-100 NPH pork to equivalent doses of U-500 regular pork insulin. There was no difference in antibody affinity for the insulin in these 2 preparations as shown by competition experiments. U-500 insulin is a useful alternative in the treatment of antibody-mediated insulin resistance. The mechanism for this effect is yet to be determined.
引用
收藏
页码:653 / 656
页数:4
相关论文
共 9 条
[1]  
BINDER C, 1969, ACTA PHARMACOL TOX, VS 27, P1
[2]   IMMUNOLOGICAL INSULIN RESISTANCE [J].
DAVIDSON, JK ;
DEBRA, DW .
DIABETES, 1978, 27 (03) :307-318
[3]  
FIELD JB, 1962, METABOLISM, V11, P636
[4]  
Kahn C R, 1979, Diabetes Care, V2, P283
[5]  
MERIMEE TJ, 1965, LANCET, V1, P69
[6]  
OAKLEY NW, 1976, LANCET, V1, P994
[7]   INSULIN RESISTANCE [J].
OAKLEY, WG ;
JONES, VE ;
CUNLIFFE, AC .
BRITISH MEDICAL JOURNAL, 1967, 2 (5545) :134-&
[8]   INSULIN RESISTANCE - CLINICAL FEATURES NATURAL COURSE AND EFFECTS OF ADRENAL STEROID TREATMENT [J].
SHIPP, JC ;
CUNNINGHAM, RW ;
RUSSELL, RO ;
MARBLE, A .
MEDICINE, 1965, 44 (02) :165-+
[9]   REACTION OF FISH INSULINS WITH HUMAN INSULIN ANTISERUMS - POTENTIAL VALUE IN TREATMENT OF INSULIN RESISTANCE [J].
YALOW, RS ;
BERSON, SA .
NEW ENGLAND JOURNAL OF MEDICINE, 1964, 270 (22) :1171-&