Treatment, clinical, and biochemical parameters of type B insulin-resistant patients during therapy
Patient | Time from diagnosis (months) | BMI (kg/m2) | Fasting blood glucose (mg/dl) | Fasting plasma insulin (pmol/l) | A1C (%) | Leptin (μg/l) | Adiponectin (mg/l)* | Diabetes treatment | Immunosuppression | Anti-insulin receptor antibody titer | Serum creatinine (mg/dl)/CrCL (ml/min)† |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | 0 | 20.4 | 244 | 11952 | 10.2 | <0.1 | 51.1 | Metformin, 4,000 IU insulin/day | Nil | +++ | 0.4/149 |
6 | 21.8 | 66 | 17682 | 8.6 | 1.2 | 21.9 | 2,350 IU insulin/day | Nil | ++ | 0.3/152 | |
11 | 23.4 | 78 | 11681 | 8.7 | 2.3 | 16.3 | 1,250 IU insulin/day | Nil | + | 0.4/157 | |
17 | 23.8 | 55 | 14015 | 8 | 9.8 | 15.6 | 1,250 IU insulin/day | Nil | – | 0.4/143 | |
35 | 30.1 | 81 | 82 | 5.7 | 55.7 | 6.2 | Nil | Nil | – | 0.6/113 | |
2 | 0 | 19.1 | 85 | 490 | 5.1 | 35.6 | 42 | Rosiglitazone, metformin, 450 IU insulin/day | 60 mg prednisone/day | +++ | 0.5/152 |
3 | 21.8 | 70 | 212 | 7.6 | 18.6 | 60 | Rosiglitazone, metformin, 450 IU insulin/day | 5 mg prednisone/day | + | 0.5/134 | |
3 | 0 | 23 | 378 | 6876 | 8.7 | 6 | 31.3 | 1,000 IU insulin/day | Plasmapheresis, rituximab, and cyclophosphamide | +++ | 0.5/NA |
10 | 24.9 | 69 | 249 | 7.3 | 48.4 | 21.8 | Nil | 20 mg prednisone/day | + | 0.7/166 | |
4 | 0 | 31.1 | 237 | 17029 | 12.1 | <0.1 | 54.2 | 1,400 IU insulin/day | Nil | +++ | 0.6/NA |
5 | 0 | 25.6 | 108 | 2979 | 8.4 | 8.5 | 36.2 | 1,200 IU insulin/day | 20 mg prednisone/day | ++ | 1.4/76 |
6 | 0 | 16.8 | 63 | 12,500 | 12.1 | 0.4 | 32.0 | 2,800 IU insulin/day | Nil | ++ | 0.3/NA |
7 | 0 | 20.7 | 321 | 42852 | 11.9 | 1.7 | 54.4 | 19,000 IU insulin/day | Nil | +++ | 0.6/97 |
Reference ranges for leptin and adiponectin are the 5th–95th percentiles from sex- and BMI-matched nondiabetic controls.
* Normal ranges for adiponectin from a control population of 515 healthy control women are 4.4–17.7 mg/l for BMI <25 kg/m2, 3.5–15.5 mg/l for BMI 25–30 kg/m2, and 2.6–14.9 mg/l for BMI 30–35 kg/m2.
† CrCL, creatinine clearance, determined from 24-h urine collection.