PMID- 2191189 OWN - NLM STAT- MEDLINE DCOM- 19900713 LR - 20190725 IS - 0026-0495 (Print) IS - 0026-0495 (Linking) VI - 39 IP - 6 DP - 1990 Jun TI - Effects of intraperitoneal versus subcutaneous insulin administration on lipoprotein metabolism in type I diabetes. PG - 598-604 AB - In order to compare the effects of intraperitoneal (IP) versus subcutaneous (SC) insulin delivery on plasma lipoproteins, lipoprotein cholesterol, triglycerides, and very-low-density lipoprotein (VLDL) metabolism were compared in five type I diabetic patients while they were receiving continuous IP insulin (CIPII) or continuous subcutaneous insulin infusion (CSII). Each therapy regimen was of at least 1 month duration, and patients were treated in random order. Mean daily plasma insulin was lower on CIPII compared with CSII. CIPII was associated with lower VLDL triglycerides and VLDL apolipoprotein (apo) B, and higher high-density lipoprotein (HDL) and HDL3 cholesterol. The decreased VLDL on CIPII appeared to be the result of both decreased production and increased clearance of VLDL apo B. The results suggest that the more physiologic route of insulin therapy (CIPII) is associated with lipoprotein profiles of lower atherogenic potential. FAU - Ruotolo, G AU - Ruotolo G AD - National Institutes of Health, Phoenix, AZ. FAU - Micossi, P AU - Micossi P FAU - Galimberti, G AU - Galimberti G FAU - Librenti, M C AU - Librenti MC FAU - Petrella, G AU - Petrella G FAU - Marcovina, S AU - Marcovina S FAU - Pozza, G AU - Pozza G FAU - Howard, B V AU - Howard BV LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Metabolism JT - Metabolism: clinical and experimental JID - 0375267 RN - 0 (Apolipoproteins B) RN - 0 (Cholesterol, LDL) RN - 0 (Insulin) RN - 0 (Lipoproteins) RN - 0 (Lipoproteins, VLDL) RN - 0 (Triglycerides) SB - IM MH - Adult MH - Apolipoproteins B/blood MH - Cholesterol, LDL/blood MH - Diabetes Mellitus, Type 1/*blood/drug therapy MH - Female MH - Humans MH - Infusion Pumps MH - Injections, Intraperitoneal MH - Injections, Subcutaneous MH - Insulin/*administration & dosage/therapeutic use MH - Kinetics MH - Lipoproteins/*blood MH - Lipoproteins, VLDL/metabolism MH - Male MH - Middle Aged MH - Triglycerides/blood EDAT- 1990/06/01 00:00 MHDA- 1990/06/01 00:01 CRDT- 1990/06/01 00:00 PHST- 1990/06/01 00:00 [pubmed] PHST- 1990/06/01 00:01 [medline] PHST- 1990/06/01 00:00 [entrez] AID - 0026-0495(90)90025-8 [pii] AID - 10.1016/0026-0495(90)90025-8 [doi] PST - ppublish SO - Metabolism. 1990 Jun;39(6):598-604. doi: 10.1016/0026-0495(90)90025-8.