Rami B, Schober E
University Children's Hospital, Vienna, Austria.
Eur J Pediatr. 1997 Nov;156(11):838-40. doi: 10.1007/s004310050724.
We compared the postprandial blood glucose (BG)-levels following preprandial regular insulin or lispro insulin before and after eating in adolescents with diabetes. Lispro is a rapidly absorbed insulin analogue. Lispro insulin injected immediately before breakfast reduced the postprandial BG-rise significantly compared to the 20 min preprandially administered regular insulin (P < 0.01). Postprandial lispro injection resulted in similar BG values as the standard treatment with regular insulin 20 min preprandially.
Lispro insulin injected immediately before the meal leads to lower postprandial BG levels and seems to be an option for teenagers who use multiple preprandial insulin injections. Postprandial lispro administration could be a benefit in certain situations since it resulted in similar BG values to preprandial regular insulin.
我们比较了糖尿病青少年在进食前后,餐前注射常规胰岛素或赖脯胰岛素后的餐后血糖(BG)水平。赖脯胰岛素是一种吸收迅速的胰岛素类似物。与餐前20分钟注射常规胰岛素相比,早餐前立即注射赖脯胰岛素可显著降低餐后BG升高幅度(P < 0.01)。餐后注射赖脯胰岛素产生的BG值与餐前20分钟注射常规胰岛素的标准治疗相似。
进餐前立即注射赖脯胰岛素可降低餐后BG水平,对于多次餐前注射胰岛素的青少年似乎是一种选择。餐后注射赖脯胰岛素在某些情况下可能有益,因为其产生的BG值与餐前常规胰岛素相似。