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. 2021 Jun 17;7(6):346–349. doi: 10.1016/j.aace.2021.05.004

Table 2.

Literature Review of Case Reports on Insulin Desensitization in Patients With T1D

Report Patient age Duration of protocol Insulin used Premedications
Insulin allergy and resistance successfully treated by desensitization with Aspart insulin 25 years old 16 d Aspart Prednisolone
Insulin desensitization with insulin lispro and an insulin pump in a 5-year-old child 5 years old 8 h Lispro Cetirizine
Insulin allergy desensitization with simultaneous intravenous insulin and continuous subcutaneous insulin infusion 9 years old (2 cases) 192 h Lispro Fexofenadine
Successful treatment of insulin allergy in a type 1 diabetic patient by means of constant subcutaneous pump infusion of insulin 21 years old Not reported Lispro Cetirizine
Continuous subcutaneous insulin infusion to resolve an allergy to human insulin 43 years old 22 h Lispro Not reported
Continuous subcutaneous insulin infusion allows tolerance induction and diabetes treatment in a type 1 diabetic child with insulin allergy 8 years old 36 h Lispro Not reported
Immediate-type human insulin allergy successfully treated by continuous subcutaneous insulin infusion 63 years old 4 d Novolin R Not reported
Primary systemic allergy to human insulin: recurrence of generalized urticaria after successful desensitization 22 years old 12 d Humulin R Not reported
Prolonged desensitization required for treatment of generalized allergy to human insulin 30 years old 9 d Actrapid Not reported
Successful management of insulin allergy and autoimmune polyendocrine syndrome type 4 with desensitization therapy and glucocorticoid treatment 17 years old 5 d Glargine Ebastine, prednisolone