Plasma insulin was measured using an in-house radioimmunoassay, using an in-house-generated guinea pig anti-human insulin antibody and 125I-labelled human insulin tracer. 125I-labelled human insulin tracer was generated using 125I (PerkinElmer Nederland) and human insulin (Novo Biolabs cat. no. 471). In this assay, bound–free separation is performed by second antibody/polyethylene glycol precipitation of antibody-bound insulin. The assay is calibrated on World Health Organization international standard 83/500. The cross-reactivity in this method is approximately 60% for insulin aspart and 50% for insulin lispro. The cross-reactivity for insulin degludec is not well known. Catecholamines were analysed by an LC-MS/MS method developed and validated in-house after derivatisation with propionic anhydride and subsequent solid-phase extraction [26 (link)]. Plasma cortisol was determined using a routine analysis method with an electrochemiluminescent immunoassay on a Cobas E801 random access analyser (Roche Diagnostics, Mannheim, Germany) [27 (link)].
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