PMID- 14526262 OWN - NLM STAT- MEDLINE DCOM- 20031224 LR - 20191108 IS - 1262-3636 (Print) IS - 1262-3636 (Linking) VI - 29 IP - 4 Pt 1 DP - 2003 Sep TI - Reproducibility of plasma insulin kinetics during intraperitoneal insulin treatment by programmable pumps. PG - 344-8 AB - OBJECTIVE: To study the reproducibility of plasma insulin kinetics during intraperitoneal (IP) insulin therapy using an implanted programmable pump in patients with type 1, insulin dependent, diabetes mellitus (IDDM). RESEARCH DESIGN AND METHODS: In a group of ten type 1 IDDM patients beginning chronic IP insulin treatment with an implanted pump, plasma free insulin profiles were determined from 12: 00 am to 12: 30 pm on two separate test days, one month apart. Anti-insulin antibody (AIA) levels were measured on each test day. RESULTS: From test day 1 to test day 2, no difference was observed in morning fasting free insulin levels (m +/- SD): 9.7 +/- 5.4 mU/L versus 9.8 +/- 5.3 mU/L, insulin peak values: 19.1 +/- 17 mU/L versus 20.8 +/- 9.9 mU/L, time to peak: 40 +/- 15 versus 42.8 +/- 16 minutes or post-bolus area under the plasma free insulin curve (AUC): 40.7 +/- 29 mU/L.h versus 45.5 +/- 29 mU/L.h. The intrapatient coefficient of variation was 14.4 +/- 13% for insulin peaks and 16.9 +/- 9.2% for post-bolus AUC. A significant increase in AIA levels (m +/- SD) was observed from 16.5 +/- 18% on test day 1 to 28.1 +/- 28% on test day 2. CONCLUSIONS: The reproducibility of plasma free insulin profiles is highly satisfactory during insulin delivery by the IP route using an implanted device. FAU - Schaepelynck Belicar, P AU - Schaepelynck Belicar P AD - Service de Nutrition-Endocrinologie-Maladies Metaboliques, Hopital Timone Adultes, Marseille, France. pauline.schaepelynck@mail.ap-hm.fr FAU - Vague, P AU - Vague P FAU - Lassmann-Vague, V AU - Lassmann-Vague V LA - eng PT - Clinical Trial PT - Journal Article PL - France TA - Diabetes Metab JT - Diabetes & metabolism JID - 9607599 RN - 0 (Insulin) RN - 0 (Insulin Antibodies) SB - IM MH - Adult MH - Age of Onset MH - Area Under Curve MH - Body Mass Index MH - Diabetes Mellitus, Type 1/*blood/*drug therapy/immunology MH - Humans MH - Insulin/*blood/pharmacokinetics/*therapeutic use MH - Insulin Antibodies/blood MH - *Insulin Infusion Systems MH - Radioimmunoassay MH - Reproducibility of Results EDAT- 2003/10/04 05:00 MHDA- 2003/12/25 05:00 CRDT- 2003/10/04 05:00 PHST- 2003/10/04 05:00 [pubmed] PHST- 2003/12/25 05:00 [medline] PHST- 2003/10/04 05:00 [entrez] AID - MDOI-DM-09-2003-29-4C1-1262-3636-101019-ART2 [pii] AID - 10.1016/s1262-3636(07)70045-9 [doi] PST - ppublish SO - Diabetes Metab. 2003 Sep;29(4 Pt 1):344-8. doi: 10.1016/s1262-3636(07)70045-9.