Comparative clinical outcomes of insulin degludec and insulin glargine 300 U/mL after switching from other basal insulins in real-world patients with type 1 and type 2 diabetes
Journal of Diabetes Investigation Nov 10, 2021
Oya J, Nakagami T, Hasegawa Y, et al. - Japanese patients with type 1 diabetes and type 2 diabetes exhibited not only similar decreases in glycated hemoglobin (HbA1c) but also similar gains in body mass index (BMI) with insulin degludec (IDeg) vs insulin glargine 300 U/mL (Gla300), 6 months after switching from other basal insulins.
This study included 307 patients with type 1 diabetes and 294 patients with type 2 diabetes with HbA1c >7.0%.
Comparisons of adjusted mean changes in HbA1c, BMI, and insulin doses between IDeg (IDeg group) and Gla300 (Gla300 group) switchers were performed.
Both IDeg and Gla300 groups exhibited significantly reduced HbA1c, and there were similar adjusted mean changes in HbA1c (about −0.3% and −0.5% in type 1 diabetes and type 2 diabetes patients, respectively) as well as in BMI between both groups.
IDeg selection was related to insulin dose reduction.
In the IDeg group, mean alteration in insulin dose was slightly larger for dose reduction vs Gla300 group.
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