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J Med Primatol ; 42(1): 1-9, 2013 Feb.
Article in English | MEDLINE | ID: mdl-23106308

ABSTRACT

BACKGROUND: Monkeys with insulin-dependent diabetes are important preclinical animal models for islet transplantation. Exogenous insulin should be administered to achieve good glycemic control and minimize the long-term vascular complications associated with diabetes until the graft function recovered completely. However, the effect of multiple daily injections of porcine or human insulin and the long-term effects of porcine insulin have not been studied in diabetic rhesus monkeys. METHODS: Diabetic rhesus monkeys, using a 6-month self-control insulin comparison experiment, were used to detect the incidence of adverse events and long-term diabetes complication events after long-term administration of porcine insulin. RESULTS: In this study, we found that a 20% higher dose of porcine insulin results in similar glycemic control as the human insulin regimen, and adverse events were seldom reported when porcine insulin was administered. Moreover, long-term injection with porcine insulin could delay the rate and severity of diabetes-related complications. CONCLUSIONS: Porcine insulin as a competent candidate for regular insulin therapy to maintain blood glucose levels in insulin-dependent diabetic monkeys during preclinical studies of islet transplantation.


Subject(s)
Diabetes Mellitus, Experimental/drug therapy , Diabetes Mellitus, Type 1/veterinary , Hypoglycemic Agents/therapeutic use , Insulin, Isophane/therapeutic use , Insulin, Regular, Human/therapeutic use , Insulin, Regular, Pork/therapeutic use , Animals , Blood Glucose , Diabetes Mellitus, Type 1/drug therapy , Diabetic Nephropathies , Diabetic Retinopathy , Glycated Hemoglobin , Hypoglycemic Agents/adverse effects , Hypoglycemic Agents/economics , Insulin, Isophane/adverse effects , Insulin, Isophane/economics , Insulin, Regular, Human/adverse effects , Insulin, Regular, Human/economics , Insulin, Regular, Pork/adverse effects , Insulin, Regular, Pork/economics , Macaca mulatta , Monkey Diseases/drug therapy
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