Type 2 & other diabetes

Comparing Postprandial Glycemic Control Using Fiasp vs Insulin Aspart in Hospitalized Patients With Type 2 Diabetes

Endocr PractPublished Randomised controlled trial

Authors' conclusion

Fiasp provides noninferior postprandial glucose control in hospitalized patients with type 2 diabetes when compared to Novolog with no increase in rates of hypoglycemia.

Study context

Population
Noncritically ill hospitalized patients with T2D in a non-ICU setting, safety-net hospital106 analysed
Participants
137 participants
Comparison
Fiasp vs insulin aspart as part of basal-bolus regimen
Primary endpoint
Time in sensor glucose range 100-180 mg/dL in the 4-hour postprandial period (blinded Dexcom G6 Pro)
Follow-up
4-hour postprandial period
Methodological detailsprospective, open-label, noninferiority
  • Prospective
  • Open-label
  • Noninferiority

Primary result

As reported in the abstract

4-hour postprandial time in range 100-180 mg/dL

P = 0.012

Further findings

Other glycemic metrics were similar between groups

Safety

Time in hypoglycemic ranges (<70, <54, <40 mg/dL)

No difference in time spent in hypoglycemic ranges

Original publication

Comparing Postprandial Glycemic Control Using Fiasp vs Insulin Aspart in Hospitalized Patients With Type 2 Diabetes. Endocr Pract. Published 4 December 2024. doi:10.1016/j.eprac.2024.11.015

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