Fischer U, Freyse E J, Jutzi E, Besch W, Raschke M, Höfer S, Albrecht G
Diabetologia. 1983 Mar;24(3):196-201. doi: 10.1007/BF00250161.
The appearance rate of insulin (calculated insulin secretion rate) in the circulating blood after subcutaneous injection was estimated in diabetic dogs from serial measurements of immunoreactive insulin concentrations using a simple mathematical model based on the insulin half-life and the distribution space. In the case of highly purified monocomponent porcine insulin, maximum concentrations occurred after 30-60 min. The duration of insulin appearance was dose-dependent and the rate of appearance could be described by a bi-exponential function. It was linearly dose-dependent but the effect on glycaemia showed saturation kinetics. The action of the injected dose on the fasting glycaemia diminished when the appearance rate became less than 0.3 mU X kg-1 X min-1. Fractional dose recovery was between 70% and 90% and was not different between depot and regular insulin. Appearance kinetics were not significantly affected by the initial glycaemia. The model presented provides a means for quantitative characterization of different insulin preparations.
通过基于胰岛素半衰期和分布空间的简单数学模型,对糖尿病犬皮下注射后循环血液中胰岛素的出现率(计算胰岛素分泌率)进行了估计,该模型通过对免疫反应性胰岛素浓度的连续测量来实现。对于高度纯化的单组分猪胰岛素,最大浓度在30 - 60分钟后出现。胰岛素出现的持续时间呈剂量依赖性,出现率可用双指数函数描述。它呈线性剂量依赖性,但对血糖的影响表现为饱和动力学。当出现率小于0.3 mU·kg⁻¹·min⁻¹时,注射剂量对空腹血糖的作用减弱。部分剂量回收率在70%至90%之间,长效胰岛素和常规胰岛素之间无差异。出现动力学不受初始血糖的显著影响。所提出的模型为不同胰岛素制剂的定量表征提供了一种方法。