Differential glycaemic control with basal insulin glargine 300 U/mL vs degludec 100 U/mL according to kidney function in type 2 diabetes – A subanalysis from the BRIGHT trial
Diabetes, Obesity and Metabolism Apr 08, 2020
Haluzík M, Cheng A, Müller‐Wieland D, et al. - This study was undertaken to determine if clinical outcomes with insulin glargine 300 U/mL (Gla‐300) and insulin degludec 100 U/mL (IDeg‐100) were affected by renal function in a pre‐specified subgroup analysis from the BRIGHT trial. For this analysis, candidates were randomised 1:1 to evening Gla‐300 (n = 466) or IDeg‐100 (n = 463) and stratified based on baseline estimated glomerular filtration rate (eGFR). According to findings, kidney function appears to have an impact on the glucose‐lowering effects of Gla‐300 vs IDeg‐100 in insulin‐naïve T2D. In patients with eGFR < 60 mL/min/1.73 m2, greater HbA1c reductions with Gla‐300 without increase in hypoglycaemia risk have been observed.
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