Trial | control | p<0.05 | harm | NS |
---|
Fritche | vs bedtime insulin glargine | noctural hypoglycemia 0.51 [0.40; 0.66] symptomatic hypoglycemia 0.86 [0.74; 0.99] | | severe hypoglycemia 0.75 [0.27; 2.09] any hypoglycemia 0.96 [0.87; 1.05] |
Riddle | vs bedtime insulin glargine | | | severe hypoglycemia 1.36 [0.51; 3.62] |
Rosenstock | vs bedtime insulin glargine | noctural hypoglycemia 0.78 [0.62; 0.98] | | symptomatic hypoglycemia 0.92 [0.81; 1.05] |
Eliaschewitz | vs bedtime insulin glargine | noctural hypoglycemia 0.56 [0.40; 0.79] symptomatic hypoglycemia 0.84 [0.72; 0.98] | | severe hypoglycemia 0.59 [0.22; 1.57] |
Massi | vs bedtime insulin glargine | noctural hypoglycemia 0.50 [0.34; 0.73] symptomatic hypoglycemia 0.64 [0.53; 0.77] | | severe hypoglycemia 1.62 [0.39; 6.72] |
Yki-Yarvinen | vs bedtime insulin glargine | | | severe hypoglycemia NaN [NaN; NaN] |
Fonseca | vs bedtime insulin glargine | | | severe hypoglycemia 0.00 [0.00; NaN] noctural hypoglycemia 0.57 [0.26; 1.25] symptomatic hypoglycemia 0.76 [0.53; 1.11] |
Pan | vs bedtime insulin glargine | | | |
Philis-Tsimikas | vs bedtime insulin glargine | any hypoglycemia 0.56 [0.50; 0.62] noctural hypoglycemia 0.27 [0.14; 0.53] | | severe hypoglycemia ∞ [NaN; ∞] |
Wang | vs bedtime insulin glargine | noctural hypoglycemia 0.13 [0.02; 0.94] | | any hypoglycemia 0.25 [0.06; 1.09] |
Yki-Yarvinen | vs bedtime insulin glargine | noctural hypoglycemia 0.43 [0.26; 0.68] | | symptomatic hypoglycemia 0.79 [0.62; 1.02] |
Yokoyama | vs bedtime insulin glargine | | | severe hypoglycemia NaN [NaN; NaN] any hypoglycemia 1.15 [0.66; 2.00] |
OPAL, 2008 | vs bedtime insulin glargine | | | |
Herman, 2005 | vs bedtime insulin glargine | | | |
Riddle POC 4002 Glargine, 2003 | vs bedtime insulin glargine | | | |
Owens, 2011 | vs bedtime insulin glargine | | | HbA1c <7% 2.56 [0.95; 6.86] |
HOE 901/3002, 2000 | vs bedtime insulin glargine | | | |
Levin, 2011 | vs bedtime insulin glargine | | | |
GRACE - ORIGIN (glargine), 2012 | vs bedtime insulin glargine | | | |
ORIGINE, 2012 | vs bedtime insulin glargine | | | all causes death 0.98 [0.89; 1.07] amputation 0.89 [0.60; 1.32] CVdeath 1.00 [0.89; 1.13] fatal and non fatal stroke 1.03 [0.88; 1.20] fatal and non fatal MI 1.02 [0.88; 1.19] Hospitalization for heart failure 0.90 [0.77; 1.05] CV events 1.02 [0.94; 1.11] Microvascular event 0.97 [0.90; 1.05] |
Trial | Treatments | Patients | Method |
---|
Fritche | morning insulin glargine (n=463) vs. bedtime insulin glargine (n=232) | patients with type 2 diabetes previously treated with oral antidiabetic agents | open Sample size: 463/232 Primary endpoint: FU duration: 24 weeks |
Riddle | bedtime glargine (n=367) vs. NPH (n=389) | overweight men and women with inadequate glycemic control (HbA(1c) >7.5%) on one or two oral agents | open Sample size: 367/389 Primary endpoint: FU duration: 24 weeks |
Rosenstock | glargine (n=259) vs. (n=259) | | Sample size: 259/259 Primary endpoint: FU duration: 28 weeks |
Eliaschewitz | glargine (n=231) vs. (n=250) | | Sample size: 231/250 Primary endpoint: FU duration: 24 weeks |
Massi | glargine (n=293) vs. (n=285) | | Sample size: 293/285 Primary endpoint: FU duration: 52 weeks |
Yki-Yarvinen | glargine (n=61) vs. (n=49) | | Sample size: 61/49 Primary endpoint: FU duration: 36 weeks |
Fonseca | glargine (n=52) vs. (n=48) | | Sample size: 52/48 Primary endpoint: FU duration: 28 weeks |
Pan | glargine (n=220) vs. (n=223) | | Sample size: 220/223 Primary endpoint: FU duration: 24 weeks |
Philis-Tsimikas | detemir (n=334) vs. (n=164) | | Sample size: 334/164 Primary endpoint: FU duration: 20 weeks |
Wang | glargine (n=16) vs. (n=8) | | Sample size: 16/8 Primary endpoint: FU duration: 12 weeks |
Yki-Yarvinen | glargine; (n=214) vs. (n=208) | | Sample size: 214/208 Primary endpoint: FU duration: 52 weeks |
Yokoyama | glargine (n=31) vs. (n=31) | | Sample size: 31/31 Primary endpoint: FU duration: 26 weeks |
OPAL, 2008 | single injection of glulisine before breakfast (n=-9) vs. single injection of glulisine before their main mealtime (breakfast, lunch or dinner); (n=-9) | patients with type 2 diabetes who were suboptimally controlled on their previous glargine and OAD regimen | Sample size: -9/-9 Primary endpoint: FU duration: |
Herman, 2005 | multiple daily injection using insulin lispro and insulin glargine (n=-9) vs. continuous subcutaneous insulin infusion using insulin lispro (n=-9) | | Sample size: -9/-9 Primary endpoint: FU duration: |
Riddle POC 4002 Glargine, 2003 | bedtime glargine (n=-9) vs. NPH once daily (n=-9) | overweight men and women with inadequate glycemic control (HbA(1c) >7.5%) on one or two oral agents | open-label Parallel groups Sample size: -9/-9 Primary endpoint: FU duration: |
Owens, 2011 | basal+bolus (single dose of insulin glulisine immediately prior to the main meal) (n=49) vs. basal insulin (glargin) (n=57) | patients withT2DM using any basal insulin and HbA1c >7.0% after 3-month of insulin glargine titrated to optimize fasting bloodglucose control | open-label Parallel groups Sample size: 49/57 Primary endpoint: FU duration: 3 months |
HOE 901/3002, 2000 | bedtime insulin glargine (n=-9) vs. bedtime NPH insulin (n=-9) | insulin-naive type 2 diabetic patients with poor glycemic control on oral antidiabetic agents | Sample size: -9/-9 Primary endpoint: FU duration: |
Levin, 2011 | (n=-9) vs. (n=-9) | | Sample size: -9/-9 Primary endpoint: FU duration: |
GRACE - ORIGIN (glargine), 2012 | insulin glargine (with a target fasting blood glucose level of <=95 mg per deciliter [5.3 mmol per liter]) (n=1184) vs. standard glycemic care alone (n=0) | subject with known CV disease and/or CV risk factors plus impaired fasting glucose, impaired glucose tolerance, or type 2 diabetes | open-label Factorial plan Sample size: 1184/0 Primary endpoint: change in maximum CIMT FU duration: |
ORIGINE, 2012 | insulin glargine (with a target fasting blood glucose level of ¡Ü95 mg per deciliter (n=6264) vs. standard care (n=6273) | with cardiovascular risk factors plus impaired fasting glucose, impaired glucose tolerance, or type 2 diabetes | Sample size: 6264/6273 Primary endpoint: FU duration: 6.2 years |