C-peptide and glucose values in the peritransplant period after intraportal islet infusions in type 1 diabetes

R. N. Faradji, K. Monroy, P. Cure, T. Froud, D. Baidal, Antonello Pileggi, S. Messinger, C. Ricordi, R. Alejandro

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Background. Successful islet allograft transplantation has been achieved worldwide. This study aimed at evaluating the relationship between peritransplant C-peptide (CP) values and long-term allograft function. Methods. We measured CP-to-glucose ratio (CPGR) in intraportal samples pre- and postinfusion, and in peripheral circulation at baseline pretransplant and at 1, 3, 6, 12, 72 hours, 1 week, and 15 and 30 days after first and second infusion in 13 islet allograft recipients. Peritransplant treatment included intravenous (IV) 5% dextrose in saline in all patients. We compared portal CPGR to insulin reduction (%) at 30 days after each infusion, and at 1 year after second infusion. Results. CPGR peaked between the immediate postinfusion and 3 hours and decreased at 12 hours. At 1 week, CPGR was 0.76 ± 0.45 and 1.44 ± 0.37 after first and second infusion, respectively. CPGR at 30 days after second infusion doubled compared to first infusion (P < .001). There was no correlation between peak CPGR and insulin reduction percent at any time point. One patient experienced hypoglycemia (47 mg/dL) 1 hour after second infusion. Conclusions. There was no relationship between the CP values in the peritransplant period and long-term graft function or success rate. The early peak in the C-peptide levels is indicative of a significant insulin release after each islet infusion. For this reason, it is important to carefully monitor serum glucose levels in the peritransplant period (hourly for the first 6 hours) and to maintain an IV glucose infusion to avoid hypoglycemia.

Original languageEnglish (US)
Pages (from-to)3433-3434
Number of pages2
JournalTransplantation proceedings
Volume37
Issue number8
DOIs
StatePublished - Oct 1 2005

ASJC Scopus subject areas

  • Surgery
  • Transplantation

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