Frier B M, Sullivan F M, Mair F S, Koch I M, Scotton J B
Diabet Med. 1984 Sep;1(3):219-21. doi: 10.1111/j.1464-5491.1984.tb01956.x.
A single dose crossover study in 10 fasting, non-diabetic men compared the 24-hour profiles of blood glucose, plasma insulin, and C-peptide following a single subcutaneous injection of either human insulin zinc suspension crystalline (recombinant DNA), or highly purified porcine insulin zinc suspension (mixed), in a standard dose of 0.2 U/kg. Both insulins produced moderate hypoglycaemia within 3 hours which persisted for 24 hours after administration. The rate of fall of blood glucose was similar from 0-3 hours but was significantly lower after the porcine insulin at 4 and 7 hours (p less than 0.05). Mean plasma insulin values were higher after porcine insulin between 2 and 6 hours (p less than 0.05) and a biphasic pattern was observed following injection of both insulins. Plasma C-peptide declined after each insulin was administered, and was significantly lower between 2 and 7 hours after porcine insulin. The duration of the hypoglycaemic action of human crystalline insulin (recombinant DNA), assessed by blood glucose measurements and C-peptide suppression, was equivalent to porcine insulin zinc suspension (mixed) (Monotard MC, Novo) over 24 hours.
一项针对10名空腹非糖尿病男性的单剂量交叉研究,比较了单次皮下注射标准剂量为0.2 U/kg的人胰岛素锌混悬液结晶(重组DNA)或高度纯化的猪胰岛素锌混悬液(混合)后24小时的血糖、血浆胰岛素和C肽水平。两种胰岛素在3小时内均产生中度低血糖,给药后持续24小时。0至3小时血糖下降速率相似,但猪胰岛素在4小时和7小时后显著较低(p小于0.05)。猪胰岛素在2至6小时后的平均血浆胰岛素值较高(p小于0.05),两种胰岛素注射后均观察到双相模式。每次注射胰岛素后血浆C肽均下降,猪胰岛素注射后2至7小时显著较低。通过血糖测量和C肽抑制评估,人结晶胰岛素(重组DNA)的低血糖作用持续时间在24小时内与猪胰岛素锌混悬液(混合)(Monotard MC,诺和诺德)相当。