Tuesday, May 31, 2022

My May 31, 2022, Online Inquiry to the National Institute of Standards and Technology (NIST) Re: Dextrose

 To:  National Institute of Standards and Technology (NIST), https://www.nist.gov/about-nist/contact-us

 

Re: Dextrose

 

As your organization is aware, dextrose is the chemical name for corn sugar produced from allergenic cornstarch, 21CFR184.1857; and is, therefore, contraindicated for administration to corn-allergic patients in the package insert accompanying corn sugar (dextrose/D-glucose)-containing IV fluids since these IV fluids contain allergenic corn proteins.
https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=184.1857

 

Based on the testimonies from the 17K+ members in corn allergy support groups, clinicians are telling corn-allergic patients that "Dextrose is naturally present in the human body."  I reported a clinician who was prepping me for surgery after she made this statement, since dextrose can prove fatal to corn-allergic patients with an IgE-mediated allergy to corn. Corn-allergic patients will no longer tolerate our clinicians telling us that our IgE-mediated allergen (corn) is "naturally present" in our body.  

 

Many members in our corn allergy support groups are corn-allergic clinicians, and they have expressed dismay and disgust that they, themselves, were never taught in their respective disciplines that dextrose is corn sugar produced from allergenic cornstarch.  They were taught that "dextrose is sugar water." 

 


To which United States government agency may we direct our certified letter requesting confirmation, in writing, that dextrose is corn sugar produced from allergenic cornstarch which is contraindicated for administration to corn-allergic patients?

 

Ref:

 

"Dextrose-containing solutions pose a significant risk to patients allergic to corn. Dextrose used for IV fluids is prepared by the simple hydrolysis of cornstarch."

https://journals.lww.com/anesthesia-analgesia/Fulltext/2019/05000/Excipients_in_Anesthesia_Medications.11.aspx

 

 

"Solutions containing dextrose should be used with caution, if at all, in patients with known allergy to corn or corn products.

D-Glucopyranose monohydrate"

https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/016679s104,016682s105,016692s095,019367s026lbl.pdf

 

 

"Pharmacists are requested to use caution and be aware that many drugs and medications contain undisclosed potential allergens in the form of sugars, starches, and celluloses. Share the corn allergy example with prescribers . . ."

http://library.bcpharmacists.org/6_Resources/6-7_ReadLinks/ReadLinks-MayJun2007.pdf

 


Blog Post Reference: 

My May 31, 2022, Online Inquiry to the National Institute of Standards and Technology (NIST) Re: Dextrose
https://cornallergyadvocacyresources.blogspot.com/2022/05/my-may-31-2022-online-inquiry-to.html


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