Severe antibody-mediated human insulin resistance: successful treatment with the insulin analog lispro. A case report.
Diabetes Care
; 20(1): 71-3, 1997 Jan.
Article
em En
| MEDLINE
| ID: mdl-9028697
ABSTRACT
OBJECTIVE:
To evaluate the efficacy of the insulin analog lispro (Lys B28, Pro B29) in severe insulin resistance caused by human insulin antibodies. CASE A 27-year-old man with a history of diabetes treated with human insulin for 3 years developed severe immunological insulin resistance caused by human insulin antibodies. Throughout follow-up (12 months) the insulin analog lispro was administered with an infusion pump as the only insulin therapy. The insulin dose decreased from an average of 300 U/day to 58 U/day, HbA1c decreased from 12.6 to 7.4%, and human insulin antibodies decreased from 8,057 to 1,860 nU/ml. Hypoglycemic episodes during early morning disappeared.CONCLUSIONS:
The insulin analog lispro might be suitable for the treatment of diabetic patients with substantially increased insulin antibody levels Apparently, the structural difference between the lispro and human insulin molecules prevented lispro from binding to the human insulin antibodies in this patient and consequently was nonimmunogenic.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Resistência à Insulina
/
Diabetes Mellitus Tipo 1
/
Hipoglicemiantes
/
Insulina
/
Anticorpos Anti-Insulina
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Diabetes Care
Ano de publicação:
1997
Tipo de documento:
Article
País de afiliação:
Finlândia