Time-action profiles of insulin detemir in normal and diabetic dogs

• Published in: Research in veterinary science Vol. 90; no. 3; pp. 396 - 403
• Main Authors: Sako, T., Mori, A., Lee, P., Oda, H., Saeki, K., Miki, Y., Kurishima, M., Mimura, K., Nozawa, S., Mizutani, H., Makino, Y., Ishioka, K., Arai, T.
• Format: Journal Article
• Language: English
• Published: England Elsevier India Pvt Ltd 01.06.2011; Elsevier Limited
• Subjects: Animals; Blood Glucose - analysis; blood sampling; Diabetes; Diabetes Mellitus - drug therapy; Diabetes Mellitus - metabolism; Diabetes Mellitus - veterinary; Dog; Dog Diseases - drug therapy; Dog Diseases - metabolism; Dogs; Dogs - metabolism; Female; Glucose; glycemic control; humans; Hypoglycemia; Insulin; Insulin - analogs & derivatives; Insulin - blood; Insulin - pharmacokinetics; Insulin - therapeutic use; Insulin Detemir; Insulin Glargine; Insulin, Isophane - pharmacokinetics; Insulin, Long-Acting; Male; Pancreas; risk; Veterinary medicine; Japan; Diabetes; Glucose; Dog; Insulin
• ISSN: 0034-5288; 1532-2661
• DOI: 10.1016/j.rvsc.2010.07.001

Insulin detemir is the first member of a new class of long-acting soluble insulin analogues capable of maintaining the basal level of insulin in humans. In this preliminary study, we investigated the time-action profiles of insulin detemir in normal and diabetic dogs since the use of insulin detemir in canines has yet to be determined. Eight animals were used in our study (three normal and five insulin dependent diabetic dogs). Time-action profiles of insulin detemir were monitored in normal dogs using an artificial pancreas apparatus under euglycemic condition. Blood sampling was performed at 2 h intervals post feeding, with insulin administration, in insulin dependent diabetic dogs. Time-action profiles of insulin detemir, in normal dogs, demonstrated that insulin detemir is a long-lasting preparation similar to what has been observed in humans. A pronounced peak was detected at 8–10 h while the glucose-lowering effect lasted for over 24 h after insulin injection, thus illustrating its longer prolonged peak activity time. Furthermore, intensive glycemic control was achieved with insulin detemir in insulin dependent diabetic dogs, using a lower dosage than NPH insulin and insulin glargine therapeutic doses. Our results indicate that insulin detemir has a greater effect than either NPH insulin or insulin glargine in canines, requiring a lower dose than either insulin preparation. However, using insulin detemir also carries a higher risk of inducing hypoglycemia as compared to either NPH insulin or insulin glargine.