Insulin-reaction test for diagnosis of low renal threshold for glucose in African diabetics

Lancet. 1978 Jul 1;2(8079):12-3. doi: 10.1016/s0140-6736(78)91322-3.

Abstract

Ten randomly selected Nigerian diabetic patients who were given an intramuscular insulin-reaction test (I.M.I.R.T.) to determine their renal threshold for glucose were found to have a very low mean renal threshold. This finding could be of great significance in the clinical management of Nigerian diabetics in whom relatively high urine-sugar levels may be found despite low blood-glucose levels. It is suggested that the I.M.I.R.T. be routinely carried out, where possible, for more accurate management of the Nigerian diabetic patient.

MeSH terms

  • Adult
  • Black People*
  • Blood Glucose / analysis
  • Diabetes Mellitus / metabolism*
  • Diabetic Nephropathies / diagnosis*
  • Diabetic Nephropathies / metabolism
  • Female
  • Glycosuria, Renal / diagnosis*
  • Humans
  • Hypoglycemia / diagnosis
  • Injections, Intramuscular
  • Insulin* / administration & dosage
  • Kidney / metabolism*
  • Male
  • Middle Aged
  • Nigeria

Substances

  • Blood Glucose
  • Insulin