Ip Eric J, Barnett Mitchell J, Tenerowicz Michael J, Perry Paul J
Touro University College of Pharmacy, Vallejo, CA 94592, USA.
Curr Sports Med Rep. 2012 Jul-Aug;11(4):176-9. doi: 10.1249/JSR.0b013e31825da97f.
Use of performance-enhancing drugs (PEDs) is common among strength-trained individuals, and a growing concern is the misuse of insulin. A 99-item Internet-based survey was posted on discussion boards of various fitness, bodybuilding, weightlifting, and anabolic steroid Web sites between February and June 2009. A case series of 41 nondiabetic insulin users is described. The typical insulin user was 30.7 ± 9.2 years old, male (97.6%), and Caucasian/white (86.8%) who classified himself as a "recreational exerciser" (47.5%). The average insulin user also used anabolic steroids (95.1%) and practiced polypharmacy by incorporating 16.2 ± 5.6 PEDs in his or her yearly routine. Hypoglycemia was reported by most of the subjects (56.8%), and one individual reported unconsciousness. Insulin was obtained most commonly from local sources (e.g., friends, training partners, gym member/dealer; 40.5%) and community pharmacies (37.8%), with most (80.6%) finding it "easy" to acquire their insulin. Strategies aimed to prevent insulin misuse are needed.
在力量训练人群中，使用提高运动成绩的药物（PEDs）很常见，而胰岛素的滥用问题也日益受到关注。2009年2月至6月期间，在各种健身、健美、举重和合成代谢类固醇网站的讨论板上发布了一项包含99个项目的基于互联网的调查。本文描述了一个由41名非糖尿病胰岛素使用者组成的病例系列。典型的胰岛素使用者年龄为30.7±9.2岁，男性（97.6%），白种人/白人（86.8%），将自己归类为“休闲锻炼者”（47.5%）。普通胰岛素使用者还使用合成代谢类固醇（95.1%），并且在其年度日常使用中合并使用16.2±5.6种PEDs进行多药联用。大多数受试者（56.8%）报告有低血糖症状，有一人报告失去意识。胰岛素最常见的获取来源是当地渠道（如朋友、训练伙伴、健身房会员/经销商；40.5%）和社区药房（37.8%），大多数人（80.6%）认为获取胰岛素“容易”。需要制定旨在预防胰岛素滥用的策略。
