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Related Experiment Videos

Immunologic insulin resistance.

J K Davidson, D W DeBra

    Diabetes
    |March 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Sulfated beef insulin effectively controlled plasma glucose in patients with immunologic insulin resistance, showing reduced antigenicity and improved treatment response compared to regular insulin. This therapy offers a promising alternative for managing difficult-to-treat diabetes.

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    Area of Science:

    • Endocrinology
    • Metabolic Disorders
    • Pharmacology

    Background:

    • Immunologic insulin resistance poses a significant challenge in diabetes management.
    • Patients often require high doses of conventional insulin, with limited efficacy.
    • Existing therapies like pork insulin or steroid treatment show variable success rates.

    Purpose of the Study:

    • To evaluate the efficacy of sulfated beef insulin in patients with immunologic insulin resistance.
    • To assess changes in insulin binding capacity and in vivo half-life during sulfated insulin therapy.
    • To compare the therapeutic response to sulfated insulin with other treatment modalities.

    Main Methods:

    • Studied 35 patients with immunologic insulin resistance previously treated with high-dose beef insulin.

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  • Administered sulfated beef insulin and monitored plasma glucose control.
  • Measured 125I-insulin binding capacity and in vivo half-life (T 1/2) before and after therapy.
  • Main Results:

    • Sulfated insulin therapy was successful in 34 out of 35 patients.
    • Mean insulin dose significantly decreased, and mean maximum binding capacity reduced (p < 0.01).
    • In vivo half-life of insulin improved significantly (p < 0.001), indicating reduced antigenicity.

    Conclusions:

    • Sulfated beef insulin is less antigenic and binds less avidly to antibodies than regular beef insulin.
    • Therapeutic response to sulfated insulin was superior to reported outcomes with pork insulin or steroid therapy.
    • Sulfated insulin represents a highly effective treatment option for patients with severe immunologic insulin resistance.