Type 2 & other diabetes

Evaluating the clinical effectiveness and safety of insulin glargine 300 U/ mL in individuals with type 2 diabetes uncontrolled on basal insulin: A real‐world evidence study from Saudi Arabia ( EVOLUTION )

Diabetes Obes MetabPublished Retrospective cohort study

Main finding · Change in mean HbA1cResult — go to the resultMean reduction 0.7 % 95% CI 0.6%–0.9%

Authors' conclusion

Real-world evidence supports the effectiveness of switching to Gla-U300 from first-generation basal insulin in T2D in Saudi Arabia.

Study context

Population
Adults with T2D uncontrolled on basal insulin, switched to insulin glargine 300 U/mL (Gla-U300) for poor glycaemic control, Saudi Arabiaanalysed
Participants
718 adults
Exposure
After vs before switching to Gla-U300
Outcome
Change in mean HbA1c
Follow-up
6 months after switch
Methodological detailsmulticentre, real-world, before-after switch comparison
  • Multicentre
  • Real-world
  • Before-after switch comparison

Main finding

As reported in the abstract

Mean reduction

0.7 %

95% CI 0.6%–0.9%

P < 0.001

Observational data: associations, not effects.

Further findings

HbA1c <7%

Individualized HbA1c goal achieved

Daily insulin dose · spread printed as ±

P = 0.09

Initial dose adjustment required

Patients requiring adjustment to initial dose
About 36.1

Safety

Overall confirmed or symptomatic hypoglycaemia

Severe hypoglycaemia

Overall confirmed or symptomatic hypoglycaemia

Gla-U300 was well tolerated

Original publication

Evaluating the clinical effectiveness and safety of insulin glargine 300 U/ mL in individuals with type 2 diabetes uncontrolled on basal insulin: A real‐world evidence study from Saudi Arabia ( EVOLUTION ). Diabetes Obes Metab. Published 24 July 2023. doi:10.1111/dom.15178

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