Insulin, not the preservative m-cresol, instigates loss of infusion site patency over extended durations of CSII in diabetic swine

MR Swinney, AL Cox, ED Hawkins, J Xue… - Journal of …, 2021 - Elsevier
Insulin infusion sets worn for more than 4–5 days have been associated with a greater risk of
unexplained hyperglycemia, a phenomenon that has been hypothesized to be caused by an …

Preservatives in insulin preparations impair leukocyte function: In vitro study

I van Faassen, AMJJ Verweij-van Vught… - Diabetes …, 1990 - Am Diabetes Assoc
m-Cresol and methyl p-hydroxybenzoate are preservatives in insulin preparations. As
previously reported, in diabetic patients on continuous subcutaneous insulin infusion, users …

Inflammation at site of insulin infusion diminishes glycemic control

S Kesserwan, BE Lewis, L Mao, R Sharafieh… - Journal of …, 2022 - Elsevier
The approximation of euglycemia is the most effective means of preventing diabetic
complications, which is achieved through effective insulin delivery. Recent reports indicate …

Advancing continuous subcutaneous insulin infusion in vivo: New insights into tissue challenges

S Kesserwan, A Mulka, R Sharafieh… - … Research Part A, 2021 - Wiley Online Library
Abstract Continuous Subcutaneous Insulin Infusion (CSII) is superior to conventional insulin
therapy as it improves glycemic control thus reducing the probability of diabetic …

[HTML][HTML] Phenolic excipients of insulin formulations induce cell death, pro-inflammatory signaling and MCP-1 release

C Weber, D Kammerer, B Streit, AH Licht - Toxicology reports, 2015 - Elsevier
Skin reactions at the infusion site are a common side effect of continuous subcutaneous
insulin infusion therapy. We hypothesized that local skin complications are caused by …

Phenolic preservative removal from commercial insulin formulations reduces tissue inflammation while maintaining euglycemia

A Mulka, BE Lewis, L Mao, R Sharafieh… - ACS Pharmacology & …, 2021 - ACS Publications
Background: Exogenous insulin therapy requires stabilization of the insulin molecule, which
is achieved through the use of excipients (eg, phenolic preservatives (PP)) that provide …

In vivo investigation of the tissue response to commercial Teflon insulin infusion sets in large swine for 14 days: the effect of angle of insertion on tissue histology and …

G Eisler, JR Kastner, MC Torjman, A Khalf… - BMJ Open Diabetes …, 2019 - drc.bmj.com
Objective This study investigated the effects of the inflammatory tissue response (ITR) to an
insulin infusion set (IIS) on insulin bolus spread over wear time, as well as the effect of …

1012-P: study of insulin stability impact on pump therapy: test model development

S Chattaraj, G Zhang, E Anselmo… - Diabetes, 2020 - Am Diabetes Assoc
Objective: Develop a test methodology for evaluating the reason for infusion set (IS) failure
in persons with diabetes using insulin pump therapy (Continuous Sub-cutaneous Insulin …

Mast Cell Deficiency in Mice Attenuates Insulin Phenolic Preservative-Induced Inflammation

S Kesserwan, M Sadagurski, L Mao, U Klueh - Biomedicines, 2023 - mdpi.com
One major obstacle that limits the lifespan of insulin infusion pumps is surmounting the
tissue site reaction at the device implantation site. All commercial insulin formulations …

A pharmacological approach assessing the role of mast cells in insulin infusion site inflammation

S Kesserwan, L Mao, R Sharafieh, DL Kreutzer… - Drug delivery and …, 2022 - Springer
Background Extending the lifespan of subcutaneous insulin administration sets and infusion
pumps requires overcoming unreliable insulin delivery induced by dermal reactions. All …