Diabetes technology

Determining Losses in Jet Injection Subcutaneous Insulin Delivery: A Model-Based Approach

J Diabetes Sci TechnolPublished Mechanistic study

Authors' conclusion

Modeling shows needle-free SC jet injection of a nominal dose of insulin does not necessarily provide metabolic action equivalent to total dose, and this availability significantly varies between trials. By quantifying and accounting for variability of jet injection insulin doses, better glycemic management outcomes using SC jet injection may be achieved.

Study context

Population
Healthy adults receiving 2U subcutaneous (SC) insulin by needle-free jet injection
Participants
7 healthy adults
Outcome
Expected proportion of active insulin present from a needle-free SC dose (insulin delivery loss)
Methodological detailsmodel-based, frequently sampled insulin-modified OGTT, Insulin, C-peptide and glucose assay data paired with a well-validated metabolic model; hepatic clearance modelled with third-order basis splines
  • Model-based
  • Frequently sampled insulin-modified OGTT
  • Insulin, C-peptide and glucose assay data paired with a well-validated metabolic model; hepatic clearance modelled with third-order basis splines

Main finding

As reported in the abstract

Insulin delivery loss

Losses of the nominal 2U SC dose, up to

22%

Original publication

Determining Losses in Jet Injection Subcutaneous Insulin Delivery: A Model-Based Approach. J Diabetes Sci Technol. Published 26 March 2022. doi:10.1177/19322968221085032

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