Metformin × glycemic control

TrialJAMA2015

Effect of Metformin Added to Insulin on Glycemic Control Among Overweight/Obese Adolescents With Type 1 Diabetes: A Randomized Clinical Trial.

Ingrid M Libman et al.PubMed ↗Publisher ↗

  • Metforminlooks bad hereHigher BMI z score of 10% or greater from baseline to 26 weeks, more gastrointestinal adverse events, no clear effect on long-term blood sugar.Randomised, small.

What the trial testedrandomised · 140 people · 2015

Randomised vs placebo

Probably raised BMI z score of 10% or greater from baseline to 26 weeks

+17.0percentage points+5.00 to +29.0

metformin vs placebo

As reported

difference 17 %, 95% CI 5.00–29.0 · the paper's word: reduction in BMI z score of 10% or greater from baseline to 26 weeks

Randomised vs placebo

Probably increased gastrointestinal adverse events

+36.0percentage points+19.0 to +51.0

metformin vs placebo

As reported

difference 36 %, 95% CI 19.0–51.0

Range includes no effect

No clear effect on long-term blood sugar

−0.30percentage points−0.60 to 0.00

metformin vs placebo

As reported

difference −0.3 %, 95% CI −0.60 to 0.00 · the paper's word: reduction in HbA1c

Range includes no effect

No clear effect on long-term blood sugar

0.00percentage points−0.30 to +0.30

metformin vs placebo

As reported

difference 0 %, 95% CI −0.30 to 0.30 · the paper's word: mean change in HbA1c from baseline

+1 more in the walkthrough ↓

Who was studied, and how

164people in the A Randomized Trial of Metformin as Adjunct Therapy for Overweight Adolescents With Type 1 Diabetes trial, from 2013
140of them with obesity, in this paper

The trial randomly assignedassigned by chance

metformin
placebo

Probably raised BMI z score of 10% or greater from baseline to 26 weeks+17.0

Probably increased gastrointestinal adverse events+36.0

No clear effect on long-term blood sugar−0.30

randomised

the abstract, start to end

than placebo (0.1%; mean difference, -0.3% [95% CI, -0.6% to 0.0%];

was 0.2% in each group (mean difference, 0% [95% CI, -0.3% to 0.3%];

in the placebo group (mean difference, 21% [95% CI, 11% to 32%]; P = .003), and 24% (17) of participants in the

in the placebo group (mean difference, 36% [95% CI, 19% to 51%];

← favours treatmentfavours comparator →
could be chance
Reduction in HbA1cmetformin vs placebo
−0.3−0.60 to 0.00
Mean change in HbA1c from baselinemetformin vs placebo
0−0.30 to 0.30
Total daily insulin per kg of body weight was reduced by at least 25% from baselinemetformin vs placebo
2111.0–32.0
Reduction in BMI z score of 10% or greater from baseline to 26 weeksmetformin vs placebo
175.00–29.0
Gastrointestinal adverse eventsmetformin vs placebo
3619.0–51.0
MetforminGlycemic controlBody weight & compositionAdverse events & safety

Metformin × glycemic controlhelps?replicated

unlikelylikely
0.840.84 without it

Metformin × body weight & compositionhelps?mixed

unlikelylikely
0.500.50 without it

Metformin × adverse events & safetyharms?mixed

unlikelylikely
0.270.21 without it
← favours treatmentfavours comparator →
this papermore certainless certain
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The trial

Full record →Abstract, authors, funding and every citing paper · PMID 26624824