A systematic review and meta-analysis of interventions to preserve insulin-secreting β-cell function in people newly diagnosed with type 1 diabetes: Results from intervention studies aimed at improving glucose control.
Parth NarendranClaire TomlinsonSophie Elizabeth BeesePawana SharmaIsobel Marion HarrisAda AdrianoFiona MaggsMartin BurrowsKrishnarajah NirantharakumarGraham Neil ThomasMalcolm J PriceRobert C AndrewsDavid J MoorePublished in: Diabetic medicine : a journal of the British Diabetic Association (2021)
This is the largest comprehensive review of RCTs in this area. It demonstrates a lack of robust evidence that interventions to improve glucose control preserve β-cell function in new onset type 1 diabetes, although analysis was hampered by low-quality evidence and inconsistent reporting of studies. Development of guidelines to support the design of trials in this field is a priority.