Skip to main content
Log in

Pharmacokinetic approach for reconstruction of predetermined plasma insulin profiles by continuous subcutaneous insulin infusion in depancreatized dogs

  • Published:
Journal of Pharmacokinetics and Biopharmaceutics Aims and scope Submit manuscript

Abstract

A preprogrammable insulin delivery system which can provide the flexibility of varying plasma insulin concentration in a physiological manner has been developed. This system involves a program of continuous subcutaneous infusion of insulin at variable rates to reproduce arbitrarily selected plasma insulin concentration-time profiles. The desired insulin infusion rate profile was calculated from the desired insulin pattern using pharmacokinetic parameters experimentally determined by measurement of immunoreactive plasma insulin following a subcutaneous bolus dose to depancreatized dogs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. A. M. Albisser, B. S. Leibel, T. G. Ewart, Z. Davidovac, C. K. Botz, W. Zingg, H. Schipper, and R. Gander. Clinical control of diabetes by the artificial pancreas.Diabetes 23:397–404 (1974).

    Article  CAS  PubMed  Google Scholar 

  2. M. Nattrass, K. G. M. M. Alberti, K. J. Dennis, P. N. Gillibrand, A. T. Letchworth, and A. L. J. Buckle. A glucose-controlled insulin infusion system for diabetic women during labour.Br. Med. J. 26:599–601 (1978).

    Article  Google Scholar 

  3. U. Fischer, E. Jutzi, H. Bombor, E. J. Freyse, E. Salzsider, G. Albrecht, W. Besch, and W. Bruns. Assessment of an algorithm for the artificialβ-cell using the normal insulinglucose relationship in diabetic dogs and men.Diabetologia 18:97–107 (1980).

    Article  CAS  PubMed  Google Scholar 

  4. T. Deckert and B. Lorup. Regulation of brittle diabetics by a pre-planned insulin infusion programme.Diabetologia 12:573–579 (1976).

    Article  CAS  PubMed  Google Scholar 

  5. S. Genuth and P. Martin. Control of hyperglycemia in adult diabetics by pulsed insulin delivery.Diabetes 26:571–581 (1977).

    Article  CAS  PubMed  Google Scholar 

  6. K. Irsigler and H. Kritz. Long-term continuous intravenous insulin therapy with a portable insulin dosage-regulating apparatus.Diabetes 28:196–203 (1979).

    Article  CAS  PubMed  Google Scholar 

  7. J. C. Pickup, H. Keen, J. A. Parsons, and K. G. M. M. Alberti. Continuous insulin infusion: an approach to achieving normoglycemia.Br. Med. J. 28:204–207 (1978).

    Article  Google Scholar 

  8. W. V. Tamborlane, R. S. Sherwin, M. Genel, and P. Felig, Reduction to normal plasma glucose in juvenile diabetes by subcutaneous administration of insulin with a portable infusion pump.N. Eng. J. Med. 300:573–578 (1979).

    Article  CAS  Google Scholar 

  9. M. C. Champion, G. A. A. Shepherd, N. W. Rodger, and J. Dupre. Continuous subcutaneous infusion of insulin in the management of diabetes mellitus.Diabetes 29:206–212 (1980).

    Article  CAS  PubMed  Google Scholar 

  10. J. V. Santiago, A. H. Clemens, W. L. Clarke, and D. M. Kipnis. Closed-loop and open-loop devices for blood glucose control in normal and diabetic subjects.Diabetes 28:71–81 (1979).

    Article  CAS  PubMed  Google Scholar 

  11. J. E. A. McIntosh and R. P. McIntosh.Mathematical Modeling and Computers in Endo-crinology. Springer-Verlag, New York, 1980, chap. 3, pp. 74–99.

    Google Scholar 

  12. K. G. Tranberg and H. Denker. Modeling of plasma disappearance of unlabeled insulin in man.Am. J. Physiol. 235:E577-E585 (1978).

    CAS  PubMed  Google Scholar 

  13. R. S. Sherwin, K. J. Kramer, J. D. Tobin, P. A. Insel, J. E. Liljenquist, M. Berman, and R. A. Andres. A model of the kinetics of insulin in man.J. Clin. Invest. 53:1481–1492 (1974).

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  14. E. W. Moore, M. L. Mitchell, and T. C. Chalmers. Variability in absorption of insulin-I131 in normal and diabetic subjects after subcutaneous and intramuscular injection.J. Clin. Invest. 38:1222–1227 (1959).

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  15. J. Schlichtkrull. The absorption of insulin.Acta. Pediatr. Scand. Suppl 270:97–101 (1978).

    Google Scholar 

  16. D. A. Henry, J. M. Lowe, D. Citrin, and W. G. Manderson. Defective absorption of injected insulin.Lancet II:741 (1978).

    Article  Google Scholar 

  17. M. Berger, P. A. Halban, L. Girardier, J. Seydoux, R. E. Offord, and A. E. Renold. Absorption kinetics of subcutaneously injected insulin. Evidence for degradation at the injection site.Diabetologia 17:97–99 (1979).

    Article  CAS  PubMed  Google Scholar 

  18. D. S. Schade, R. P. Eaton, N. Friedman, and W. Spencer. The intravenous, intraperitoneal and subcutaneous route of insulin delivery in diabetic man.Diabetes 28:1069–1072 (1979).

    Article  CAS  PubMed  Google Scholar 

  19. M. Berger, H. J. Cüppers, P. A. Halban, and R. E. Offord. The effect of aprotinin on the absorption of subcutaneously injected regular insulin in normal subjectes.Diabetes 28:81–83 (1980).

    Article  Google Scholar 

  20. K. Kølendorf, J. Bojsen, and S. L. Nielsen. Adipose tissue blood flow and insulin disappearance from subcutaneous tissue.Clin. Pharmacol. Ther. 25:598–604 (1979).

    PubMed  Google Scholar 

  21. R. W. Stevenson, T. I. Tsakok, and J. A. Parsons. Matched glucose response to insulin administration subcutaneously and intravenously.Diabetologia 18:423–426 (1980).

    CAS  PubMed  Google Scholar 

  22. P. Dandona, N. Foster, F. Healey, E. Greenbury, and A. G. Beckett. Low dose insulin infusion in diabetic patients with high insulin requirements.Lancet II:283–285 (1978).

    Article  Google Scholar 

  23. American Diabetes Association. Policy statement-blood glucose control in diabetes.Diabetes 25:237–239 (1976).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hirayama, H., Kasuya, Y., Kobayashi, T. et al. Pharmacokinetic approach for reconstruction of predetermined plasma insulin profiles by continuous subcutaneous insulin infusion in depancreatized dogs. Journal of Pharmacokinetics and Biopharmaceutics 11, 595–609 (1983). https://doi.org/10.1007/BF01059059

Download citation

  • Received:

  • Revised:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01059059

Key words

Navigation