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Insulin is a protein, so it's pretty stable. Also, it's generally not hanging around in the fridge for long periods of time so any effects of temp. changes should be minimal. If you check your BS regularly, it should become apparent if your insulin is not working as it should.
There is a company (Minimed?) that is working on a subcutaneous implantable glucose meter that continually monitors blood sugar. It sends IR signals to an insulin pump that delivers insulin as needed. Tight control. Lots of new stuff on the horizon, maybe even islet cell regeneration with stem cells.
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My work here is nearly finished.
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