Some body builders abuse insulin in addition to anabolic steroids. This practice has little practical benefit and carries the potential for serious complications.
The body builder believes that the use of insulin will have an anabolic effect. He or she will inject insulin then ingest a sugar source.
Risk factors for complications:
(1) changing type of insulin
(2) increasing dose
(3) failing to ingest sugar
Complications:
(1) hypoglycemia
(2) fall injury
(3) HIV or other blood-borne pathogens
Detection:
(1) admission by athlete
(2) unexplained hypoglycemia
(3) relative amount of C-reactive protein to insulin in serum
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