Evidence map›Paper›PMID 21715522›Full record

Trial reportDiabetes care2011

Improved pharmacokinetic and pharmacodynamic profile of rapid-acting insulin using needle-free jet injection technology.

Elsemiek E C Engwerda, Evertine J Abbink, Cees J Tack, Bastiaan E de Galan

3 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01438632 phase4completednot on this map

Pharmacology of Rapid-acting Insulin Injected by Needle-free Jet-injection in Patients With Diabetes

TypeinterventionalSponsorRadboud University Medical CenterRan2011 to 2012Enrolled24ConditionsDiabetes MellitusArmsjet injection device
NCT02272296 phase4completednot on this mapstarted 2015, after this paper: background citation

Reproducibility of Insulin Action When Administered by Needle-free Jet Injection

TypeinterventionalSponsorRadboud University Medical CenterRan2015 to 2015Enrolled30ConditionsDiabetes MellitusArmsjet injector, Conventional pen (NovoPen IV)
NCT02443714 phase4completednot on this mapstarted 2015, after this paper: background citation

Pharmacokinetic and Pharmacodynamic Profile of Insulin Lispro Using Needle-Free Jet Injection Technology

TypeinterventionalSponsorChongqing Medical UniversityRan2015 to 2015Enrolled18ConditionsHealthyArmsNeedle-free jet injection with insulin lispro, Conventional pen injection with insulin lispro
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

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  13. Insulin Injection Behaviors and Association with Glycemic Outcomes in Patients with Diabetes: A Real-World Survey in Spain.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
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  16. Perioperative Pain Management for Mastectomy in Dogs: A Narrative Review.Animals : an open access journal from MDPI · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Elsemiek E C EngwerdaDepartment of Internal Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
Evertine J Abbink
Cees J Tack
Bastiaan E de Galan
Radboud University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInsulin administered by jet injectors is dispensed over a larger subcutaneous area than insulin injected with a syringe, which may facilitate a more rapid absorption. This study compared the pharmacologic profile of administration of insulin aspart by jet injection to that by conventional insulin pen. RESEARCH DESIGN AND

methodsEuglycemic glucose clamp tests were performed in 18 healthy volunteers after subcutaneous administration of 0.2 units/kg body wt of aspart, either administered by jet injection or by conventional pen, using a randomized, double-blind, double-dummy, cross over study design. Pharmacodynamic and pharmacokinetic profiles were derived from the glucose infusion rate (GIR) needed to maintain euglycemia and from plasma insulin levels, respectively.

resultsThe time to maximal GIR was significantly shorter when insulin was injected with the jet injector compared with conventional pen administration (51 ± 3 vs. 105 ± 11 min, P < 0.0001). The time to peak insulin concentration was similarly reduced (31 ± 3 vs. 64 ± 6 min, P < 0.0001) and peak insulin concentrations were increased (108 ± 13 vs. 79 ± 7 mU/L, P = 0.01) when insulin was injected by jet injection compared with conventional pen injection. Jet injector insulin administration reduced the time to 50% glucose disposal by ∼40 min (P < 0.0001). There were no differences in maximal GIR, total insulin absorption, or total insulin action between the two devices.

conclusionsAdministration of insulin aspart by jet injection enhances insulin absorption and reduces the duration of glucose-lowering action. This profile resembles more closely the pattern of endogenous insulin secretion and may help to achieve better meal insulin coverage and correction of postprandial glucose excursions.

Indexed as

Injections, JetAdultBlood GlucoseCross-Over StudiesDouble-Blind MethodFemaleGlucose Clamp TechniqueHumansInsulin, Short-ActingMaleYoung AdultBlood GlucoseInsulin, Short-Acting

Identifiers

PMID21715522
PMCPMC3142054
OpenAlexW2145548102

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.