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Frequency of hypoglycaemia with basal insulin treatments in adults with type 1 diabetes treated with basal-bolus insulin regimens in treat-to-target trials: A narrative review.

David L Russell-JonesTimothy S BaileyWendy LaneChantal MathieuUlrik Pedersen-Bjergaard
Published in: Diabetic medicine : a journal of the British Diabetic Association (2024)
Differences across the studies in design (e.g., titration targets) and participant characteristics hindered comparison of hypoglycaemia rates by insulin formulation. Consequently, few trends were identified by insulin formulation, study methodology or individuals' characteristics, suggesting that further research is required to identify treatment strategies that facilitate development of individualised recommendations to lower hypoglycaemia risk. These findings are useful to understand hypoglycaemia risk with available basal insulin therapies when used in a multiple daily injection regimen, as well as to provide context for the results of ongoing and future clinical trials, including those for two once-weekly basal insulins, insulin icodec and basal insulin Fc.
Keyphrases
  • type diabetes
  • glycemic control
  • clinical trial
  • insulin resistance
  • metabolic syndrome
  • skeletal muscle
  • physical activity
  • current status
  • breast cancer risk