Type 2 & other diabetes

Diabetes remission and relapse following an intensive metabolic intervention combining insulin glargine/lixisenatide, metformin and lifestyle approaches: Results of a randomised controlled trial

Diabetes Obes MetabPublished Randomised controlled trial

Primary result · Diabetes relapseResult — go to the resultAdjusted hazard ratio 0.57 95% CI 0.40–0.81

Authors' conclusion

A 12-week intensive intervention comprising insulin glargine/lixisenatide, metformin and lifestyle approaches can induce remission of diabetes.

Study context

Population
Patients with T2D on none to two diabetes medications other than insulin
Participants
160 patients
Comparison
Intensive intervention vs standard care
Primary endpoint
Diabetes relapse: HbA1c ≥6.5% (48 mmol/mol) at 24 weeks or thereafter, capillary glucose ≥10 mmol/L on ≥50% of readings, or use of diabetes medications; time-to-event
Methodological detailshierarchical testing strategy
  • Hierarchical testing strategy

Primary result

Diabetes relapse

Adjusted hazard ratio

0.57

95% CI 0.40–0.81

P = 0.002

Interventionvs Standard care
aHR 0.57 (95% CI 0.40–0.81); P = 0.002

As reported in the abstract

Secondary outcomes

OutcomeInterventionStandard careRR for remission
Complete or partial diabetes remission (HbA1c <6.5% off diabetes medications since 12 weeks) · 24 weeks38.0%19.8%1.92 (95% CI 1.14–3.24)
Complete or partial diabetes remission · 36 weeks31.6%17.3%1.83 (CI 1.03–3.26)
Diabetes remission · 48 weeks1.88 (CI 1.00–3.53)
Diabetes remission · 64 weeks2.05 (CI 0.98–4.29)

Original publication

Diabetes remission and relapse following an intensive metabolic intervention combining insulin glargine/lixisenatide, metformin and lifestyle approaches: Results of a randomised controlled trial. Diabetes Obes Metab. Published 14 August 2023. doi:10.1111/dom.15234

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

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