Abstract
In the use of low-level intravenous insulin infusion for treating diabetic hyperglycaemia and ketoacidosis adsorption of insulin to containers or plastic infusion apparatus results in significant losses of 60-80% of insulin in dilute physiological saline solution (40 U/l). It is therefore necessary to add protein to the carrier solution to minimize losses and maintain a constant delivery rate. Recovery studies showed that 3.5% w/v polygeline solution (polymer of degraded gelatin) was a suitable medium for this purpose, offering some advantages over human serum albumin. A minimum concentration of 0.5% polygeline was required to ensure adequate delivery of insulin to the patient.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- FREINKEL N., GOODNER C. J. Carbohydrate metabolism in pregnancy. I. The metabolism of insulin by human placental tissue. J Clin Invest. 1960 Jan;39:116–131. doi: 10.1172/JCI104010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- HILL J. B. The adsorption of I131-insulin to glass. Endocrinology. 1959 Sep;65:515–517. doi: 10.1210/endo-65-3-515. [DOI] [PubMed] [Google Scholar]
- Kidson W., Casey J., Kraegen E., Lazarus L. Treatment of severe diabetes mellitus by insulin infusion. Br Med J. 1974 Jun 29;2(5921):691–694. doi: 10.1136/bmj.2.5921.691. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Petty C., Cunningham N. L. Insulin adsorption by glass infusion bottles, polyvinylchloride infusion containers, and intravenous tubing. Anesthesiology. 1974 Apr;40(4):400–404. doi: 10.1097/00000542-197404000-00018. [DOI] [PubMed] [Google Scholar]
- Semple P. F., White C., Manderson W. G. Continuous intravenous infusion of small doses of insulin in treatment of diabetic ketoacidosis. Br Med J. 1974 Jun 29;2(5921):694–698. doi: 10.1136/bmj.2.5921.694. [DOI] [PMC free article] [PubMed] [Google Scholar]
- WISEMAN R., Jr, BALTZ B. E. Prevention of insulin-I-131 adsorption to glass. Endocrinology. 1961 Feb;68:354–356. doi: 10.1210/endo-68-2-354. [DOI] [PubMed] [Google Scholar]
- Weisenfeld S., Podolsky S., Goldsmith L., Ziff L. Adsorption of insulin to infusion bottles and tubing. Diabetes. 1968 Dec;17(12):766–771. doi: 10.2337/diab.17.12.766. [DOI] [PubMed] [Google Scholar]
- Young J. D., Kraegen E. W. Simultaneous assay of insulin and glucagon in serum. Aust J Exp Biol Med Sci. 1968 Dec;46(6):697–705. doi: 10.1038/icb.1968.176. [DOI] [PubMed] [Google Scholar]