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69 protocols using novolin

1

Long-Term INI Effects on Memory in Elderly

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The MemAID study was a two-center, randomized, double-blind, parallel design placebo-controlled trial evaluating the long-term effects of 40 I.U. of human INI (Novolin® R Novo Nordisk Inc., Baksvaerd, Denmark, off label use (13 )) or sterile saline once daily (12 (link),14 ). Participants were randomized into four treatment arms (type 2 diabetes-INI, type 2 diabetes-Placebo, Control-INI, and Control-Placebo). The trial was conducted from October 6, 2015 to May 31, 2020 and it was approved by the US Food and Drug Administration (FDA; IND#107690) and registered on www.clinicaltrials.gov (NCT02415556). MemAID study was conducted at the Syncope and Falls in the Elderly (SAFE) Laboratory, Clinical Research Center (CRC) at Beth Israel Deaconess Medical Center (BIDMC), and at the Center for Clinical Investigation (CCI) at Brigham and Women’s Hospital (BWH). The protocol was approved by the Committee on Clinical Investigation at BIDMC and BWH, and all participants signed the informed consent. Participant enrollment in this study took place from March 2016 to March 2018.
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2

Hyperinsulinemic-Euglycemic Clamp Assessment

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Hyperinsulinemic–euglycemic clamps were performed as previously described38 (link). Jugular venous catheters were inserted 7 days before hyperinsulinemic–euglycemic clamps. To assess basal whole-body glucose turnover, [3-3H]glucose (HPLC purified, Perkin-Elmer) was infused at a rate of 0.05 μCi min−1 for 120 min into the jugular catheter after overnight fasting. After the basal infusion, hyperinsulinemic–euglycemic clamps were performed in conscious mice for 140 min with a 3 min primed infusion of insulin (48 mU kg−1 min−1), followed by a continuous (20 mU kg−1 min−1) infusion of human insulin (Novolin, Novo Nordisk), a variable infusion of 20% dextrose to maintain euglycemia (100–120 mg dl−1) and [3-3H]glucose at a rate of 0.1 μCi min−1 to calculate whole-body glucose turnover during the clamps. At the end of the clamps, mice were anesthetized with pentobarbital sodium injection (150 mg kg−1), tissues were rapidly excised and snap-frozen in liquid nitrogen, then stored at −80 °C for subsequent analysis.
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3

In vivo glucose and insulin testing

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In vivo GSIS was performed as described earlier [19 (link)]. Mice were fasted for 16 h, and then plasma samples were collected from the retro-orbital sinus before and 15 min after i.p. glucose injection (3g/kg). For glucose tolerance tests, mice were fasted for 6 h. Blood glucose concentrations were quantified using a glucometer (Contour; Bayer Laboratories) immediately before and 15, 30, 60, 90, and 120 min following intraperitoneal (i.p) administration of glucose (1.5 g/kg body wt). Insulin tolerance was assessed following a 4-h fast by quantifying blood glucose concentrations at 0, 30, 60, 90 and 120 min after administration of human insulin (0.5 U/kg body wt i.p; Novolin, Novo Nordisk).
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Glucose and Insulin Tolerance Tests

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OGTT and ITT were performed in overnight and 9 h-fasted mice, respectively. Glucose was delivered by oral gavage at 2.5 g/kg body weight after initial measurement of fasting blood glucose. Insulin was delivered by intraperitoneal injection (0.75 U/kg body weight; Novolin, Novo Nordisk). Blood glucose was determined at 0, 30, 60, and 120 min after the glucose or insulin administration with an Embrace blood glucose meter (Omnis Health).
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5

Glucose and Insulin Tolerance Tests

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An intraperitoneal glucose tolerance test (IGTT) and an intraperitoneal insulin tolerance test (IITT) were conducted at the end of the 11th and 12th weeks. For the IGTT, the mice were fasted overnight, and the baseline blood glucose levels were measured using the Accu-Chek Active Blood Glucose Meter, followed by injecting the mice intraperitoneally with 2 mg glucose/g body weight, and measuring blood glucose levels at 15, 30, 45, 60, and 120 min after the injection. Three days later, the animals were fasted for 6 h, and the fasting glucose levels were determined as described above. For the IITT, these 6 h-fasted mice were injected with 1U insulin/kg body weight (Novolin, Novo Nordisk, Copenhagen, Danish), followed by measuring the blood glucose levels at 15, 30, 45, and 60 min after the injection.
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6

Metabolic Phenotyping of Mice

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Glucose tolerance tests (GTT) were performed by fasting mice for 4 h prior to intraperitoneal (ip) injection of glucose at a dose of 1 mg/kg body weight, followed by periodic saphenous vein bleeds over 90–120 min, for immediate blood glucose measurements with a glucometer (OneTouch UltraMini, Life Scan, Milpitas, CA). Insulin tolerance tests (ITT) were performed by ip injection of 0.75 units insulin/kg body weight (Novolin, Novo Nordisk, Denmark) followed by quantification of blood glucose levels at time intervals as noted. Area under the curves (AUCs) were calculated using the manufacturer's algorithm in the PRISM software package (GraphPad, San Diego, CA). Body composition was determined by dual-energy x-ray absorptiometry (DEXA) using a PIXImus Mouse Densitometer (Lunar Corporation, Madison, WI). Food and water intake were measured for 72 h with PhenoMaster metabolic cages (TSE Systems, Bad Homburg, Germany), after a 72 h acclimatization period [25 ].
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7

Assessing Metabolic Physiology in Mice

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TG clearance was assessed in mice fasted overnight (1700–0900 h) after an oral gavage of 200 μL of food-grade olive oil (Oleoestepa, Estepa, Spain). The rate of hepatic VLDL-TG secretion was assessed after tyloxapol injection (500 mg/kg i.p.; Sigma-Aldrich). Glucose tolerance tests were performed in mice fasted overnight that were injected with 2 mg glucose/g BW i.p. Insulin tolerance tests were performed in mice 4 h after food removal, starting at 0700 h by injecting 1.5 mU insulin/g BW i.p. (Novolin; Novo Nordisk, Bagsvaerd, Denmark). Blood samples were taken from lateral tail vein, and blood glucose measured (AlphaTRAK 2; Abbott Laboratories, Abbott Park, IL). To assess ex vivo WAT lipolysis, 50–60 mg of tissue from urogenital fat pads was washed in cold PBS and minced into small pieces, then incubated in 500 μL Krebs-Ringer HEPES buffer without or with 1 µmol/L isoproterenol for 2 h at 37°C 5% CO2. Media were collected to measure glycerol production (Free Glycerol Reagent; Sigma-Aldrich). Hepatic insulin sensitivity was assessed in mice fasted overnight that were injected with saline or 2 mU/g BW insulin i.p. Twenty minutes later, the liver was collected for Western blot analysis.
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8

Blood Glucose and Insulin Tolerance Assays

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Blood glucose concentrations were determined using an AlphaTrak glucose meter (Abbott Laboratories). Glucose tolerance tests were performed on animals fasted overnight by intraperitoneally injecting glucose (2 mg/kg), as previously described (30 (link),31 (link)). Plasma insulin concentrations were determined using a Mouse Insulin ELISA kit (ALPCO). For an insulin tolerance test, animals fasted for 6 h received an intraperitoneal injection of either saline or human insulin (0.5 units/kg; Novolin; Novo Nordisk). Fasting glucose and insulin were measured after an overnight fast.
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9

Metabolic Phenotyping of Offspring

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We assessed glucose homeostasis in female offspring as previously described (Ussher et al. 2014) (link). In brief, oral and intraperitoneal glucose tolerance were assessed either in female dams fed a LFD or HFD for 5-weeks, or in female offspring following an overnight fast at 10-and 11-weeks of age, respectively, using a glucose dose of 2 g/kg body weight. Intraperitoneal insulin tolerance was assessed either in female dams fed a LFD or HFD for 5-weeks, or in female offspring following a 6 hr fast at 12-weeks of age, using an insulin dose of 0.3 U/kg body weight (Novolin (biosynthetic human insulin), Novo Nordisk).
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10

Insulin-Mediated Glucose Reduction

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The mice were administered with insulin (0.4 unit/kg, novolin, Novo Nordisk, Danmark) 4 h after fasting via intraperitoneal injection. The blood glucose levels were calculated using blood samples collected at 0, 40 and 90 min after insulin injection. The percentage of blood glucose reduction at 40 min was calculated accordingly.
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