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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Diabetologia 10 (1974), S. 703-708 
    ISSN: 1432-0428
    Keywords: Porcine insulin ; insulin antibodies ; lipoatrophy ; skin reactions ; insulin requirement
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Side effects of insulin treatment (red spots at the injection site, lipoatrophy and insulin antibody formation) are primary related to the purity and the species of the insulin preparations used in treatment. To evaluate the clinical significance of these factors daily insulin requirements were registered in 1685 protamine insulin treated cases; red spots and lipoatrophy recorded in 500 NPH insulin treated patients and insulin antibodies determined in 173 patients. 51 of the patients were treated for more than 12 months with highly purified porcine insulin (proinsulin contamination 〈0.5 mmol/mol). 96 patients were treated for 1–4 years with porcine NPH insulin (proinsulin contamination 12–13 mmol/mol), and most of the remaining patients have been treated with mixed porcine-bovine insulin preparations in earlier periods. It was shown that high purification of porcine NPH insulin is of importance in reducing insulin dose, lipoatrophy and insulin binding capacity of serum. Thus insulin antibodies could be demonstrated in only 3 of 51 patients after 11/2 year of treatment with highly purified porcine NPH insulin. None of these patients developed red spots at the injection site and only one patient developed a small shallow depression of the subcutaneous tissue on one thigh. The daily insulin requirement was significantly lower when compared with the insulin requirement of a porcine NPH insulin treated control group.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Diabetologia 8 (1972), S. 358-361 
    ISSN: 1432-0428
    Keywords: Human insulin ; insulin antibodies ; isoimmunization ; impurities in insulin ; monocomponent insulin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Dix patients non-diabétiques, atteints de maladie psychiatrique, n'ayant pas été traités auparavant par l'insuline, ont subi une thérapeutique par coma insulinique avec de l'insuline humaine contenant plusieurs fractions, recristallisée et mise en solution neutre. Le traitement a été administré pendant 1–3 mois, à des doses maximales de 96–196 unités par jour. Plusieurs patients ont élaboré des anticorps anti-insuline. La cause de la formation d'anticorps est discutée. La présence de petites quantités de la fraction-a dans l'insuline semble avoir une importance dans la formation des anticorps anti-insuline.
    Abstract: Zusammenfassung Zehn nicht-diabetische psychiatrische Patienten, die vorher nicht mit Insulin behandelt worden waren, wurden einer Insulinkomatherapie mit einem nicht-monokomponentartigen Humaninsulin in neutraler Lösung unterzogen. Die Behandlung wurde 1–3 Monate lang mit Maximaldosen von 96–196 E täglich durchgeführt. Mehrere Patienten erzeugten Insulinantikörper. Die Ursache der Antikörperentstehung wird diskutiert. Die Anwesenheit kleiner Mengen der a-Fraktion des Insulins könnte für die Insulinantikörperbildung von Bedeutung sein.
    Notes: Summary Ten non-diabetic psychiatric patients, who had not previously been treated with insulin, underwent insulin coma therapy by recrystallized, non-monocomponent human insulin in neutral solution. The treatment was given for 1–3 months, in maximum doses of 96–196 units daily. Several patients formed insulin antibodies. The cause of the antibody formation is discussed. The presence of small quantities of the a-fraction in the insulin is assumed to be of importance in the insulin antibody formation.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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