Type 1 diabetes

An Investigation Into Local Infusion Site Pain After Infusion of Ultra Rapid Lispro Excipients Across Sites and Depths

J Diabetes Sci TechnolPublished Randomised crossover trial

Authors' conclusion

Local infusion site discomfort after infusion of URLi excipients was reported by a small subset of participants; it was transient, tolerable, and dependent on infusion site but not infusion depth. Given differences within individuals, patients may consider using a different infusion site if they experience discomfort.

Study context

Population
Adults with T1D on CSII; mean age 40.5 years, BMI 27.5
Participants
40 adults
Comparison
Infusion of ultra rapid lispro (URLi) excipients across infusion sites and depths
Primary endpoint
Local infusion site pain on 0–100 mm VAS after 15 unit-equivalent boluses (150 μL) of URLi excipients
Follow-up
5 min pre-bolus, 1 and 15 min post-bolus
Methodological detailsphase 1, one-day, five-period crossover
  • Phase 1
  • One-day
  • Five-period crossover

Primary result

As reported in the abstract

Infusion site pain (VAS) · 1 min post-bolus

Scores >45 mm (clinically meaningful pain)

7 of 577

Further findings

Infusion site pain (visual analog scale (VAS)) · 15 min post-bolus

VAS scores returned to pre-bolus levels

Original publication

An Investigation Into Local Infusion Site Pain After Infusion of Ultra Rapid Lispro Excipients Across Sites and Depths. J Diabetes Sci Technol. Published 3 November 2022. doi:10.1177/19322968221135217

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