Dandona P, Foster M, Healey F, Greenbury E, Beckett A G
Lancet. 1978 Aug 5;2(8084):283-5. doi: 10.1016/s0140-6736(78)91688-4.
Six patients with high insulin requirements (range 120-3000 units daily) have been infused with much smaller doses (range 50-63 units daily) of insulin intravenously. All six maintained adequate glucose homoestasis on this regimen. It is suggested that subcutaneous tissue at the site of injection may alter insulin or impair its absorption. Insulin resistance in some patients may be due to these mechanisms.
6名胰岛素需求量高(每日120 - 3000单位)的患者接受了小得多剂量(每日50 - 63单位)的静脉胰岛素输注。所有6名患者在此治疗方案下均维持了足够的血糖稳态。提示注射部位的皮下组织可能会改变胰岛素或损害其吸收。部分患者的胰岛素抵抗可能归因于这些机制。