Type 2 & other diabetes

Comparative efficacy and safety of Gla‐300 versus insulin degludec/aspart (IDegAsp) in insulin‐naïve people with type 2 diabetes mellitus uncontrolled on oral anti‐diabetics

Diabetes Obes MetabPublished Systematic review and indirect treatment comparison of randomised controlled trials

Pooled result · Change in HbA1c (%) from baselineResult — go to the resultMean difference 0.10 % 95% CI −0.20 to 0.39

Authors' conclusion

In insulin-naïve patients with T2D inadequately controlled on OADs, commencing Gla-300 shows a comparable HbA1c reduction, but with significantly less weight gain and a lower incidence of any and confirmed hypoglycaemia compared with commencing IDegAsp.

Study context

Population
Insulin-naïve adults with T2D inadequately controlled (HbA1c ≥7.0%) on OADs4 trials
Comparison
Gla-300 once daily vs IDegAsp once daily
Outcome
Change in HbA1c (%) from baseline
Follow-up
24-28 weeks
Methodological detailsmeta-analysis
  • Meta-analysis

Pooled result

As reported in the abstract

Mean difference

0.10 %

95% CI −0.20 to 0.39

P = 0.52

Gla-300vs IDegAsp
mean difference 0.10 % (95% CI −0.20 to 0.39); P = 0.52

Further pooled results

OutcomeMean difference (kg) (95% CI)P value
Change in body weight from baseline · 24-28 weeks−1.31 (−1.97 to −0.65)P < 0.05

Insulin dose

No significant differences for insulin dose

Safety

OutcomeOR (95% CI)P value
Incidence of any hypoglycaemia · 24-28 weeks0.62 (0.41–0.93)P < 0.05
Incidence of anytime confirmed hypoglycaemia (plasma glucose <3.0-3.1 mmol/L) · 24-28 weeks0.47 (0.25–0.87)P < 0.05

Adverse events

No significant differences for adverse events

Original publication

Comparative efficacy and safety of Gla‐300 versus IDegAsp in insulin‐naïve people with type 2 diabetes mellitus uncontrolled on oral anti‐diabetics. Diabetes Obes Metab. Published 13 June 2023. doi:10.1111/dom.15121

Composed by AI from the published abstract and checked against it. How Briefs are made →

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