Type 1 diabetes

Continuous Glucose Monitoring Metrics and Continuous Glucose Monitoring–Based Hypoglycemia, Including Duration, in Individuals with Type 1 Diabetes Switching to Once-Weekly Insulin Icodec: A Post Hoc Evaluation of ONWARDS 6

Diabetes Technol TherPublished Post hoc analysis of the ONWARDS 6 randomised trial

Authors' conclusion

In adults with type 1 diabetes, estimated rate ratios for CGM-based clinically significant hypoglycemia were lower than those estimated from SMBG data, although still favoring degludec with estimated rate ratios of 1.28-1.38. CGM metrics varied by treatment day after icodec injection, but median duration of CGM-based hypoglycemia was comparable between treatment arms.

Study context

Population
Adults with T1D
Comparison
Once-weekly insulin icodec vs once-daily insulin degludec
Methodological detailsopen continuous glucose monitoring (CGM)
  • Open CGM

Primary result

As reported in the abstract

CGM-based clinically significant hypoglycaemic episodes (<3.0 mmol/L for ≥15 consecutive min) · baseline to week 26 and week 57

Estimated rate ratio (CGM)

1.38

baseline to week 26; Self-measured blood glucose (SMBG)-based rate ratio 1.88

Estimated rate ratio (CGM)

1.28

baseline to week 57; SMBG-based rate ratio 1.79

Further findings

Median duration of CGM-based hypoglycaemic episodes (<3.9 mmol/L) · baseline to week 26

Median duration of CGM-based hypoglycaemic episodes (<3.9 mmol/L) · baseline to week 57

Median duration of CGM-based periods <3.0 mmol/L · week 26 and week 57

Time in range (TIR), time above range (TAR), time below range (TBR) by treatment day after icodec injection · weeks 0-4, 22-26 and 48-52

TIR highest on days 2-4 after icodec injection, with concomitant reduction in TAR and increase in TBR

Median duration of CGM-based hypoglycaemic episodes (<3.9 mmol/L) · baseline to week 26

Comparable between treatment arms

Original publication

Continuous Glucose Monitoring Metrics and Continuous Glucose Monitoring–Based Hypoglycemia, Including Duration, in Individuals with Type 1 Diabetes Switching to Once-Weekly Insulin Icodec: A Post Hoc Evaluation of ONWARDS 6. Diabetes Technol Ther. Published 18 July 2025. doi:10.1177/15209156251359319

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.