Addressing challenges in insulin storage: An ethical dilemma among physicians
Background and Aims: Insulin is a temperature-sensitive protein; hence, its potency is highly dependent on appropriate storage. Ideally, insulin should be stored in the refrigerator, but when in use it can be stored at room temperature for up to four weeks. However, room temperatures vary widely acr...
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Published in | Indian journal of endocrinology and metabolism Vol. 27; no. 2; pp. 140 - 144 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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India
Wolters Kluwer India Pvt. Ltd
01.03.2023
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Wolters Kluwer - Medknow Wolters Kluwer Medknow Publications |
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Abstract | Background and Aims: Insulin is a temperature-sensitive protein; hence, its potency is highly dependent on appropriate storage. Ideally, insulin should be stored in the refrigerator, but when in use it can be stored at room temperature for up to four weeks. However, room temperatures vary widely across regions and countries, and all rural areas of developing countries like India are not electrified. This study explored physicians' perception of alternative methods for appropriate storage of insulin, such as indigenous storage methods like clay pots. Methods: A Study was conducted among 188 Indian physicians attending a diabetes conference in December 2018 to evaluate the feasibility of indigenous storage methods. Results: It was observed that although the use of alternate indigenous methods like clay pots was recommended by them, the proportion was low. The awareness of literature on these methods for insulin storage validation was also less than 50%. Owing to the lack of validation studies on indigenous methods, nearly 80% of the physicians felt that they were not confident to recommend them. Besides, the study results highlighted the necessity of conducting an adequate number of validation studies on indigenous methods in the Indian setting, considering their scarcity. Conclusion: This is the first time we highlight ethical dilemmas through a study among physicians when they advise non-refrigerator methods for insulin storage, in the event of a lack of electricity supply. It is hoped that results from these studies would highlight ethical dilemmas among physicians and would motivate researchers in this field to conduct studies to validate alternative methods of insulin storage. |
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AbstractList | Background and Aims: Insulin is a temperature-sensitive protein; hence, its potency is highly dependent on appropriate storage. Ideally, insulin should be stored in the refrigerator, but when in use it can be stored at room temperature for up to four weeks. However, room temperatures vary widely across regions and countries, and all rural areas of developing countries like India are not electrified. This study explored physicians' perception of alternative methods for appropriate storage of insulin, such as indigenous storage methods like clay pots. Methods: A Study was conducted among 188 Indian physicians attending a diabetes conference in December 2018 to evaluate the feasibility of indigenous storage methods. Results: It was observed that although the use of alternate indigenous methods like clay pots was recommended by them, the proportion was low. The awareness of literature on these methods for insulin storage validation was also less than 50%. Owing to the lack of validation studies on indigenous methods, nearly 80% of the physicians felt that they were not confident to recommend them. Besides, the study results highlighted the necessity of conducting an adequate number of validation studies on indigenous methods in the Indian setting, considering their scarcity. Conclusion: This is the first time we highlight ethical dilemmas through a study among physicians when they advise non-refrigerator methods for insulin storage, in the event of a lack of electricity supply. It is hoped that results from these studies would highlight ethical dilemmas among physicians and would motivate researchers in this field to conduct studies to validate alternative methods of insulin storage. Insulin is a temperature-sensitive protein; hence, its potency is highly dependent on appropriate storage. Ideally, insulin should be stored in the refrigerator, but when in use it can be stored at room temperature for up to four weeks. However, room temperatures vary widely across regions and countries, and all rural areas of developing countries like India are not electrified. This study explored physicians' perception of alternative methods for appropriate storage of insulin, such as indigenous storage methods like clay pots. A Study was conducted among 188 Indian physicians attending a diabetes conference in December 2018 to evaluate the feasibility of indigenous storage methods. It was observed that although the use of alternate indigenous methods like clay pots was recommended by them, the proportion was low. The awareness of literature on these methods for insulin storage validation was also less than 50%. Owing to the lack of validation studies on indigenous methods, nearly 80% of the physicians felt that they were not confident to recommend them. Besides, the study results highlighted the necessity of conducting an adequate number of validation studies on indigenous methods in the Indian setting, considering their scarcity. This is the first time we highlight ethical dilemmas through a study among physicians when they advise non-refrigerator methods for insulin storage, in the event of a lack of electricity supply. It is hoped that results from these studies would highlight ethical dilemmas among physicians and would motivate researchers in this field to conduct studies to validate alternative methods of insulin storage. Background and AimsInsulin is a temperature-sensitive protein; hence, its potency is highly dependent on appropriate storage. Ideally, insulin should be stored in the refrigerator, but when in use it can be stored at room temperature for up to four weeks. However, room temperatures vary widely across regions and countries, and all rural areas of developing countries like India are not electrified. This study explored physicians' perception of alternative methods for appropriate storage of insulin, such as indigenous storage methods like clay pots.MethodsA Study was conducted among 188 Indian physicians attending a diabetes conference in December 2018 to evaluate the feasibility of indigenous storage methods.ResultsIt was observed that although the use of alternate indigenous methods like clay pots was recommended by them, the proportion was low. The awareness of literature on these methods for insulin storage validation was also less than 50%. Owing to the lack of validation studies on indigenous methods, nearly 80% of the physicians felt that they were not confident to recommend them. Besides, the study results highlighted the necessity of conducting an adequate number of validation studies on indigenous methods in the Indian setting, considering their scarcity.ConclusionThis is the first time we highlight ethical dilemmas through a study among physicians when they advise non-refrigerator methods for insulin storage, in the event of a lack of electricity supply. It is hoped that results from these studies would highlight ethical dilemmas among physicians and would motivate researchers in this field to conduct studies to validate alternative methods of insulin storage. |
Audience | Academic |
Author | Srivastava, Indu Thakur, Ashwani Kanchan, Arvind Pande, Arun |
AuthorAffiliation | 2 Department of Physiology, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India Department of Endocrinology, Lucknow Endocrine Diabetes and Thyroid Clinic, Lucknow, Uttar Pradesh, India 3 Critical Care Consultant, Sahara Hospital, Lucknow, Uttar Pradesh, India 1 Biological Sciences and Bioengineering Department, Indian Institute of Technology, Kanpur, Uttar Pradesh, India |
AuthorAffiliation_xml | – name: Department of Endocrinology, Lucknow Endocrine Diabetes and Thyroid Clinic, Lucknow, Uttar Pradesh, India – name: 3 Critical Care Consultant, Sahara Hospital, Lucknow, Uttar Pradesh, India – name: 1 Biological Sciences and Bioengineering Department, Indian Institute of Technology, Kanpur, Uttar Pradesh, India – name: 2 Department of Physiology, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India |
Author_xml | – sequence: 1 givenname: Arun surname: Pande fullname: Pande, Arun organization: Department of Endocrinology, Lucknow Endocrine Diabetes and Thyroid Clinic, Lucknow, Uttar Pradesh – sequence: 2 givenname: Ashwani surname: Thakur fullname: Thakur, Ashwani organization: Biological Sciences and Bioengineering Department, Indian Institute of Technology, Kanpur, Uttar Pradesh – sequence: 3 givenname: Arvind surname: Kanchan fullname: Kanchan, Arvind organization: Department of Physiology, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh – sequence: 4 givenname: Indu surname: Srivastava fullname: Srivastava, Indu organization: Critical Care Consultant, Sahara Hospital, Lucknow, Uttar Pradesh |
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Cites_doi | 10.1016/S2213-8587(22)00190-5 10.1371/journal.pone.0245372 10.1111/dme.13194 10.1055/s-0039-1692371 10.1055/a-1010-5466 10.1007/s13300-019-0574-x 10.1111/pedi.12296 10.4103/2249-4855.118669 10.1177/1932296817747292 |
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References | Kaufmann (R4-20240828) 2021; 16 Khurana (R16-20240828) 2019; 07 Ogle (R3-20240828) 2016; 33 Bahendeka (R2-20240828) 2019; 10 (R5-20240828) 2017 Kongmalai (R14-20240828) 2021; 129 R6-20240828 Webber (R1-20240828) 2013; 2 Tarr (R13-20240828) 1991; 48 Ogle (R7-20240828) 2016; 17 Heynen (R10-20240828) 2019; 9 Carter (R12-20240828) 2018; 12 Singh (R17-20240828) 2018; 22 Pande (R9-20240828) 2022; 10 Vimalavathini (R15-20240828) 2009; 130 Kalra (R8-20240828) 2012; 2 |
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Snippet | Background and Aims: Insulin is a temperature-sensitive protein; hence, its potency is highly dependent on appropriate storage. Ideally, insulin should be... Insulin is a temperature-sensitive protein; hence, its potency is highly dependent on appropriate storage. Ideally, insulin should be stored in the... Background and AimsInsulin is a temperature-sensitive protein; hence, its potency is highly dependent on appropriate storage. Ideally, insulin should be stored... |
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StartPage | 140 |
SubjectTerms | Developing countries Ethical aspects Ethics india indigenous methods Insulin insulin storage Original Physicians Refrigerators study Type 2 diabetes Validation studies |
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Title | Addressing challenges in insulin storage: An ethical dilemma among physicians |
URI | http://www.ijem.in/article.asp?issn=2230-8210;year=2023;volume=27;issue=2;spage=140;epage=144;aulast=Pande;type=0 https://www.ncbi.nlm.nih.gov/pubmed/37292065 https://www.proquest.com/docview/2809326901/abstract/ https://search.proquest.com/docview/2824686421 https://pubmed.ncbi.nlm.nih.gov/PMC10245316 https://doaj.org/article/19f2742fa7774b2f9ad6070247571e7a |
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