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2 protocols using novolin n

1

Adipogenic Differentiation of ASC Spheroids

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ASC spheroids were produced using micro-molded non-adhesive hydrogel (2% agarose in NaCl 0.9%) with 800 μm diameter in each of the 81 circular recesses (3D Petri Dish®, MicroTissues Inc) following the manufacturer’s protocol. Approximately 2 × 106 cells were seeded into the chamber of the non-adhesive hydrogel resuspended in a medium composed of DMEM supplemented with 50 ug/mL ascorbic acid (Sigma Aldrich, USA), 1.25 ug/mL human albumin (Farma Biagini SPA, Brazil), 100 ug/ml penicillin and 100 ug/ml streptomycin, and ITS 1X (Lonza). For adipogenic induction, ASC spheroids were maintained in DMEM supplemented with 50 ug/mL ascorbic acid (Sigma Aldrich, USA), 1.25 ug/mL human albumin (Farma Biagini SPA), 100 U/ml penicillin and 100 ug-ml streptomycin, and ITS 1X (Lonza, USA), and the components of adipogenic induction were 10 μM insulin (Novolin® N, Novo Nordisk, Brazil) 0.5 mM isobutylmethylxanthine, 1 μM dexamethasone, and 200 μM indomethacin (Sigma Aldrich, USA). At week 1 of adipogenic induction, the supplementation of the medium was changed, and only 10 μM insulin (Novolin® N, Novo Nordisk, Brazil) was maintained as a component of adipogenic induction for up to 5 weeks. A part of ASC spheroids induced for adipogenesis was maintained under 0.5 ug/mL lipopolysaccharide (LPS) (Sigma-Aldrich, USA).
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2

Comparing Insulin Regimens for Diabetes

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Main exposures in the present study were one of four insulin regimens: regimen 1 (insulin glargine, once daily), regimen 2 (biphasic insulin, twice daily), regimen 3 (biphasic insulin, three times daily) and regimen 4 (rapid‐acting insulin analog, three times daily; and long‐acting insulin, once daily), based on the frequency of insulin injection9, 10, 11. These specific regimens included the largest number of patients among those receiving one to four insulin injections daily. The rapid‐acting insulin analog used was insulin aspart (Novo Rapid®; Novo Nordisk, Bagsværd, Denmark) or insulin lispro (Humalog®; Eli Lilly, Indianapolis, IN, USA) in the present study. Long‐acting insulin included neutral protamine Hagedorn (Novolin N®; Novo Nordisk), insulin neutral protamine lispro (Humalog N®; Eli Lilly), insulin detemir (Levemir®; Novo Nordisk) or insulin glargine (Lantus®; Sanofi‐Aventis, Paris, France). Biphasic insulin included lispro mix 75/25 (75% insulin lispro protamine suspension and 25% of insulin lispro; Eli Lilly), lispro mix 50/50 (50% insulin lispro protamine suspension and 50% of insulin lispro; Eli Lilly) or aspart 30/70 mix (70% protamine‐crystallized aspart and 30% soluble insulin aspart; Novo Nordisk).
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