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Switching to insulin glargine 300 U/mL: Is duration of prior basal insulin therapy important?
Diabetes Res. Clin. Pract. 142, 19-25 (2018)
Aims: To assess the impact of duration of prior basal insulin therapy on study outcomes in people with type 2 diabetes mellitus receiving insulin glargine 300 U/mL (Gla-300) or insulin glargine 100 U/mL (Gla-100) for 6 months.Methods: A post hoc patient-level meta-analysis of data from the EDITION 1 and 2 studies. Outcomes included: HbA1c, percentage of participants with >= 1 confirmed or severe hypoglycaemic event at night (00: 00-05: 59 h) or any time (24 h), and body weight change. Data were analysed according to duration of prior basal insulin use: >0-<= 2 years, >2-<= 5 years, >5 years.Results: This meta-analysis included 1618 participants. HbA(1c) change from baseline to month 6 was comparable between Gla-300 and Gla-100 groups, regardless of duration of prior basal insulin therapy. The lower risk with Gla-300 versus Gla-100 of >= 1 confirmed (<= 3.9 mmol/L [<= 70 mg/dL]) or severe hypoglycaemic event, at night or any time (24 h), was unaffected by duration of prior basal insulin therapy. Similarly, weight change was unaffected by duration of prior basal insulin therapy.Conclusions: Switching to Gla-300 from other basal insulin therapies provided comparable glycaemic control with lower risk of hypoglycaemia versus Gla-100, regardless of duration of prior basal insulin therapy.Clinical trial registration: NCT01499082, NCT01499095 (ClinicalTrials. gov).
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Basal Insulin ; Duration Of Insulin Therapy ; Insulin Glargine ; Type 2 Diabetes Mellitus; American-diabetes-association; Microvascular Complications; Position Statement; Glycemic Control; Glucose Control; 100 Units/ml; Hypoglycemia; People; Predictors; Type-1
ISSN (print) / ISBN
0168-8227
e-ISSN
1872-8227
Quellenangaben
Volume: 142,
Pages: 19-25
Publisher
Elsevier
Publishing Place
Elsevier House, Brookvale Plaza, East Park Shannon, Co, Clare, 00000, Ireland
Non-patent literature
Publications
Reviewing status
Peer reviewed