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因使用兽医胰岛素注射器导致的3c型糖尿病控制不佳

Poorly Controlled Type 3c Diabetes due to Use of Veterinarian Insulin Syringes.

作者信息

Barrera Francisco, Murvelashvili Natia

机构信息

Amita Health Saint Francis Hospital, 355 Ridge Avenue, Evanston, IL 60202, USA.

出版信息

Case Rep Endocrinol. 2019 Jun 17;2019:7916435. doi: 10.1155/2019/7916435. eCollection 2019.

DOI:10.1155/2019/7916435
PMID:31316841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6601479/
Abstract

Initiation of insulin therapy can be challenging for patients; proper training should be given by physicians and certified educators to ensure correct and safe use for outpatient population. Different insulin strengths are now available in the US; while U-40 insulin does not exist in the United States for humans, it is a very common strength used in animals. We are reporting a 30-year-old male that became insulin dependent after hospitalization for necrotizing pancreatitis who was using U-40 syringes to draw from the prescribed insulin U-100 and also presented with repeated hypoglycemic episodes.

摘要

启动胰岛素治疗对患者来说可能具有挑战性;医生和经过认证的教育工作者应提供适当培训,以确保门诊患者正确、安全地使用胰岛素。目前美国有不同强度的胰岛素;虽然美国已不再生产用于人类的U - 40胰岛素,但它是动物常用的一种强度。我们报告了一名30岁男性,他因坏死性胰腺炎住院后开始依赖胰岛素治疗,使用U - 40注射器抽取处方的U - 100胰岛素,并且反复出现低血糖发作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/6601479/4153cae3c29e/CRIE2019-7916435.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/6601479/ba91d15b9218/CRIE2019-7916435.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/6601479/4153cae3c29e/CRIE2019-7916435.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/6601479/ba91d15b9218/CRIE2019-7916435.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/6601479/4153cae3c29e/CRIE2019-7916435.002.jpg

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本文引用的文献

1
U300 Insulin Glargine: A Novel Basal Insulin for Type 1 and Type 2 Diabetes.U300甘精胰岛素:一种用于1型和2型糖尿病的新型基础胰岛素。
J Pharm Technol. 2015 Oct;31(5):234-242. doi: 10.1177/8755122515584193. Epub 2015 Apr 29.
2
Update on insulin treatment for dogs and cats: insulin dosing pens and more.犬猫胰岛素治疗的最新进展:胰岛素注射笔及更多内容。
Vet Med (Auckl). 2015 Apr 15;6:129-142. doi: 10.2147/VMRR.S39984. eCollection 2015.
3
Errors of insulin therapy: Real-life experiences from developing world.胰岛素治疗的误区:来自发展中世界的实际经验。
J Family Med Prim Care. 2017 Oct-Dec;6(4):724-729. doi: 10.4103/jfmpc.jfmpc_418_16.
4
U-200 Humalog Insulin Now Available in United States.优泌乐200胰岛素现已在美国上市。
Home Healthc Now. 2016 Feb;34(2):102. doi: 10.1097/NHH.0000000000000343.
5
Trends in Insulin Use and Diabetes Control in the U.S.: 1988-1994 and 1999-2012.美国胰岛素使用及糖尿病控制趋势:1988 - 1994年与1999 - 2012年
Diabetes Care. 2016 Mar;39(3):e33-5. doi: 10.2337/dc15-2229. Epub 2015 Dec 30.
6
Diagnosis and treatment of diabetes mellitus in chronic pancreatitis.慢性胰腺炎糖尿病的诊断与治疗。
World J Gastroenterol. 2013 Nov 14;19(42):7276-81. doi: 10.3748/wjg.v19.i42.7276.
7
Clinical use of U-500 regular insulin: review and meta-analysis.U-500常规胰岛素的临床应用:综述与荟萃分析。
J Diabetes Sci Technol. 2012 Mar 1;6(2):412-20. doi: 10.1177/193229681200600229.