Diabetes technology

Insulin DEgludec/LIraglutide versus multiple daily insulin injections in the transition from hospital to outpatient management assessed by continuous glucose monitoring: the DELI transition trial

DiabetologiaPublished Randomised controlled trial

Authors' conclusion

IDegLira proved to be safer and more effective than MDI for individuals with type 2 diabetes who had suboptimal glycaemic control, aiding in their transition from hospital to outpatient care.

Study context

Population
Patients with T2D in transition from hospital to outpatient setting; baseline HbA1c 103 ± 11.6 mmol/mol (11.6 ± 1.7%), age 58 ± 12.4 years (means ± SD)included in analysis
Participants
64 patients
Comparison
Insulin degludec/liraglutide (IDegLira) vs MDI after hospital discharge
  • IDegLiran = 32
  • MDIn = 32reference
Primary endpoint
Percentage of patients with ≥1 hypoglycaemic event (>15 min with glucose <3.0 mmol/l on CGM)
Follow-up
First 4 weeks
Methodological detailsopen-label
  • Open-label

Primary result

As reported in the abstract

≥1 hypoglycaemic event (plasma glucose <3.0 mmol/l) · first 4 weeks

P < 0.010

Further findings

OutcomeIncidence rate ratio (95% CI)P value
Hypoglycaemia event densityLower with IDegLira15.2 (6.2–48.2)P < 0.001

TBR <3.8 mmol/l

P = 0.019

TBR <3.0 mmol/l

P = 0.008

TIR 3.8-10 mmol/l

P = 0.008

Consistency by baseline HbA1c

Findings consistent regardless of baseline HbA1c

Original publication

Insulin DEgludec/LIraglutide versus multiple daily insulin injections in the transition from hospital to outpatient management assessed by continuous glucose monitoring: the DELI transition trial. Diabetologia. Published 4 August 2025. doi:10.1007/s00125-025-06446-y

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