Type 2 & other diabetes

Patients with type 2 diabetes who achieve reduced postprandial glucose levels during insulin intensive therapy may have a better recovery of β-cell function

Diabetes Res Clin PractPublished Randomised controlled trial

An erratum to this article was published (Diabetes Res Clin Pract, Nov 2025 ↗)

Authors' conclusion

Drug-naïve T2D patients with lower postprandial glucose concentration during CSII therapy exhibit better β-cell function recovery.

Study context

Population
Drug-naïve patients with T2D receiving continuous subcutaneous insulin infusion (CSII) therapy, hospitalized
Participants
99 patients
Comparison
Metformin add-on NovoRapid vs Prandilin during CSII
Primary endpoint
Factors contributing to better β-cell function recovery after CSII therapy
Methodological detailsinpatient, Lead-in period, 4-day CGM period, 2-3 weeks treatment period; OGTTs at baseline and endpoint
  • Inpatient
  • Lead-in period, 4-day CGM period, 2-3 weeks treatment period; OGTTs at baseline and endpoint

Primary result

As reported in the abstract

Factors of β-cell function recovery after CSII · endpoint

Improvement in C-peptide levels

83

84 %

No change in C-peptide levels

16

16 %

Correlation of incremental AUC of glucose (0700 to 1000) with increase in incremental AUC of C-peptide (Pearson)

r = −0.199

P < 0.05

Further findings

Time to glycemic control

Glycemic control achieved within (days)
3.8 ± 1.1

Original publication

Patients with type 2 diabetes who achieve reduced postprandial glucose levels during insulin intensive therapy may have a better recovery of β-cell function. Diabetes Res Clin Pract. Published 3 August 2024. doi:10.1016/j.diabres.2024.111805

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