Literature DB >> 7000239

Sauna-induced acceleration in insulin absorption from subcutaneous injection site.

V A Koivisto.   

Abstract

The effect of the Finnish sauna on insulin absorption from a subcutaneous injection site was examined in eight insulin-dependent diabetic patients by measuring externally the disappearance rate of 125I-labelled rapid-acting insulin. The sauna (twice for 25 minutes at 85 degrees C) accelerated insulin absorption by 110% as compared with room temperature (p < 0.01). After the sauna blood glucose concentrations were 3.0-3.3 mmol/1 (54.1-59.5 mg/100 ml) lower than on the control day (p < 0.05). The fall in blood glucose values was proportional to the increased rate of insulin absorption (r = 0.30; p < 0.01). The hypoglycaemic effect of a sauna in insulin-treated diabetics is clearly at least partly due to enhanced insulin absorption from the injection site. Such an effect might be prevented by taking a snack or reducing the insulin dose.

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Year:  1980        PMID: 7000239      PMCID: PMC1601709          DOI: 10.1136/bmj.280.6229.1411

Source DB:  PubMed          Journal:  Br Med J        ISSN: 0007-1447


  11 in total

1.  Glucoregulation during moderate exercise in insulin treated diabetics.

Authors:  B Zinman; F T Murray; M Vranic; A M Albisser; B S Leibel; P A Mc Clean; E B Marliss
Journal:  J Clin Endocrinol Metab       Date:  1977-10       Impact factor: 5.958

Review 2.  Human cardiovascular adjustments to exercise and thermal stress.

Authors:  L B Rowell
Journal:  Physiol Rev       Date:  1974-01       Impact factor: 37.312

3.  Adipose tissue blood flow and insulin disappearance from subcutaneous tissue.

Authors:  K Kølendorf; J Bojsen; S L Nielsen
Journal:  Clin Pharmacol Ther       Date:  1979-05       Impact factor: 6.875

4.  Circulatory regulation during exercise in different ambient temperatures.

Authors:  E R Nadel; E Cafarelli; M F Roberts; C B Wenger
Journal:  J Appl Physiol Respir Environ Exerc Physiol       Date:  1979-03

5.  Metabolic and hormonal effects of muscular exercise in juvenile type diabetics.

Authors:  M Berger; P Berchtold; H J Cüppers; H Drost; H K Kley; W A Müller; W Wiegelmann; H Zimmerman-Telschow; F A Gries; H L Krüskemper; H Zimmermann
Journal:  Diabetologia       Date:  1977-08       Impact factor: 10.122

6.  Absorption of injected insulin. A clinical-pharmacological study.

Authors:  C Binder
Journal:  Acta Pharmacol Toxicol (Copenh)       Date:  1969

7.  Alterations in insulin absorption and in blood glucose control associated with varying insulin injection sites in diabetic patients.

Authors:  V A Koivisto; P Felig
Journal:  Ann Intern Med       Date:  1980-01       Impact factor: 25.391

8.  Absorption kinetics of subcutaneously injected insulin. Evidence for degradation at the injection site.

Authors:  M Berger; P A Halban; L Girardier; J Seydoux; R E Offord; A E Renold
Journal:  Diabetologia       Date:  1979-08       Impact factor: 10.122

9.  Mechanism of exercise-induced hypoglycemia in depancreatized dogs maintained on long-acting insulin.

Authors:  R Kawamori; M Vranic
Journal:  J Clin Invest       Date:  1977-02       Impact factor: 14.808

10.  Effects of leg exercise on insulin absorption in diabetic patients.

Authors:  V A Koivisto; P Felig
Journal:  N Engl J Med       Date:  1978-01-12       Impact factor: 91.245

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  12 in total

1.  Modeling absorption kinetics of subcutaneous injected soluble insulin.

Authors:  E Mosekilde; K S Jensen; C Binder; S Pramming; B Thorsteinsson
Journal:  J Pharmacokinet Biopharm       Date:  1989-02

2.  Clinical performance of a device that applies local heat to the insulin infusion site: a crossover study.

Authors:  Guido Freckmann; Stefan Pleus; Antje Westhoff; Lars G Krinelke; Andreas Buhr; Nina Jendrike; Cornelia Haug
Journal:  J Diabetes Sci Technol       Date:  2012-03-01

Review 3.  Increasing local blood flow by warming the application site: beneficial effects on postprandial glycemic excursions.

Authors:  Guido Freckmann; Stefan Pleus; Cornelia Haug; Gabriel Bitton; Ron Nagar
Journal:  J Diabetes Sci Technol       Date:  2012-07-01

Review 4.  Heat exposure and drugs. A review of the effects of hyperthermia on pharmacokinetics.

Authors:  J Vanakoski; T Seppälä
Journal:  Clin Pharmacokinet       Date:  1998-04       Impact factor: 6.447

5.  Effects of a sauna on the pharmacokinetics and pharmacodynamics of midazolam and ephedrine in healthy young women.

Authors:  J Vanakoski; C Strömberg; T Seppälä
Journal:  Eur J Clin Pharmacol       Date:  1993       Impact factor: 2.953

6.  Influence of heat on insulin absorption: different effects on amorphous and soluble insulins.

Authors:  V A Koivisto
Journal:  Acta Diabetol Lat       Date:  1983 Apr-Jun

Review 7.  Improved insulin absorption by means of standardized injection site modulation results in a safer and more efficient prandial insulin treatment. A review of the existing clinical data.

Authors:  Andreas Pfützner; Itamar Raz; Gabriel Bitton; David Klonoff; Ron Nagar; Norbert Hermanns; Thomas Haak
Journal:  J Diabetes Sci Technol       Date:  2014-10-28

8.  Improved Postprandial Glucose Control Using the InsuPad Device in Insulin-Treated Type 2 Diabetes: Injection Site Warming to Improve Glycemic Control.

Authors:  Itamar Raz; Gabriel Bitton; Dmitry Feldman; Tal Alon; Andreas Pfutzner; William V Tamborlane
Journal:  J Diabetes Sci Technol       Date:  2015-04-16

9.  Acceleration of insulin pharmacodynamic profile by a novel insulin infusion site warming device.

Authors:  Eda Cengiz; Stuart A Weinzimer; Jennifer L Sherr; Eileen Tichy; Melody Martin; Lori Carria; Amy Steffen; William V Tamborlane
Journal:  Pediatr Diabetes       Date:  2012-10-28       Impact factor: 4.866

10.  Towards a Physiological Prandial Insulin Profile: Enhancement of Subcutaneously Injected Prandial Insulin Using Local Warming Devices.

Authors:  Ahmed H El-Laboudi; Nick Oliver
Journal:  Diabetes Ther       Date:  2015-09-02       Impact factor: 2.945

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