Type 2 & other diabetes

β-cell function and long-term glycemic control in patients newly diagnosed with type 2 diabetes with moderate hyperglycemia after a 6-month course of basal insulin therapy

Diabetes Res Clin PractPublished Randomised controlled trial

Authors' conclusion

A 6-month course of basal insulin therapy did not benefit patients newly diagnosed with diabetes with moderate hyperglycemia in terms of insulin sensitivity or insulin secretion.

Study context

Population
Patients newly diagnosed with T2D with moderate hyperglycemia32 analysed
Participants
50 patients
Comparison
Insulin vs metformin vs sitagliptin
Primary endpoint
HbA1c level change
Follow-up
6 months

Primary result

As reported in the abstract

HbA1c change

Insulin

- 2.06

± 1.37 · %

Metformin

−0.43

± 0.32 · %

Sitagliptin

- 1.62

± 0.92 · %

Secondary outcomes

Treat-to-target (HbA1c < 7.0 %) · 6 months

Treat-to-target (HbA1c < 7.0 %) · 6 months

Not significantly different among the three groups

Insulin secretion and sensitivity indices (Matsuda index, HOMA-IR) · 6 months

Groups did not differ

Original publication

β-cell function and long-term glycemic control in patients newly diagnosed with type 2 diabetes with moderate hyperglycemia after a 6-month course of basal insulin therapy. Diabetes Res Clin Pract. Published 8 August 2024. doi:10.1016/j.diabres.2024.111814

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