Serial insulin and C-peptide concentrations following high-dose insulin for the treatment of drug poisoning: a consecutive case series

This study identified a shorter insulin elimination half-life after discontinuing high-dose insulin than previously reported. Measuring serial insulin and C-peptide concentrations may guide clinical decisions, including dextrose weaning and confirm resolution of hyperinsulinaemia.

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Publication Details

Journal
Clinical Toxicology
Published
2026-02-05
DOI
https://doi.org/10.1080/15563650.2026.2613033
Primary Topic
Hyperglycemia and glycemic control in critically ill and hospitalized patients
Type
article
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article

Serial insulin and C-peptide concentrations following high-dose insulin for the treatment of drug poisoning: a consecutive case series

Lori Coulson, Úna Nic Ionmhain, Darren M. Roberts
Clinical Toxicology
Hyperglycemia and glycemic control in critically ill and hospitalized patients
article

Serial insulin and C-peptide concentrations following high-dose insulin for the treatment of drug poisoning: a consecutive case series

Lori Coulson, Úna Nic Ionmhain, Darren M. Roberts
article en

Abstract

This study identified a shorter insulin elimination half-life after discontinuing high-dose insulin than previously reported. Measuring serial insulin and C-peptide concentrations may guide clinical decisions, including dextrose weaning and confirm resolution of hyperinsulinaemia.

Clinical Toxicology
Royal Prince Alfred Hospital (AU), Liverpool Hospital (AU), Royal Hobart Hospital (AU), UNSW Sydney (AU), Sydney Children’s Hospitals Network (AU)
Good health and well-being
Openalex Percentile: Top 68%
Hyperglycemia and glycemic control in critically ill and hospitalized patients
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