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 |