Diabetes technology

Progressive Acceleration of Insulin Exposure Over 7 Days of Infusion Set Wear

Diabetes Technol TherPublished Crossover euglycemic clamp pilot study

Authors' conclusion

These results confirm/extend previous observations showing progressive acceleration of insulin exposure over IIS wear time.

Study context

Population
People with diabetes (A1C ≤8.5%, C-peptide <0.6 nmol/L, ≥6 months pump use)Pharmacokinetic (PK)/pharmacodynamic (PD) data obtained
Participants
6 people
Comparison
Conventional Teflon angled insulin infusion set (IISs) vs investigational extended-wear IIS; PK over 7 days of IIS wear (pooled)
Outcome
Insulin lispro PK (0.15 U/kg bolus), pooled data from both groups, 5 h postbolus
Follow-up
Days 0 to 7

Main finding

As reported in the abstract

Progressive decrease in tmax
P < 0.001
Progressive decrease in Cmax
P < 0.05
Progressive decrease in mean residence time
P < 0.0001
AUC0-300 declined by ∼24%
P < 0.05

Original publication

Progressive Acceleration of Insulin Exposure Over 7 Days of Infusion Set Wear. Diabetes Technol Ther. Published 20 December 2022. doi:10.1089/dia.2022.0323

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