Evidence mapPaperPMID 29946148Full record

Trial reportScientific reports2018

Metformin add-on continuous subcutaneous insulin infusion on precise insulin doses in patients with type 2 diabetes.

Feng-Fei Li, Bing-Li Liu, Guo-Ping Yin, Reng-Na Yan, Dan-Feng Zhang, Jin-Dan Wu, Lei Ye, Xiao-Fei Su, Jian-Hua Ma

Full text readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Feng-Fei LiDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Bing-Li LiuDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Guo-Ping YinDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Reng-Na YanDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Dan-Feng ZhangDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Jin-Dan WuDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Lei YeNational Heart Research Institute Singapore, National Heart Centre, Singapore, Singapore.
Xiao-Fei SuDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Jian-Hua MaDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. majianhua196503@126.com.ORCID 0000-0001-9383-2559

Funding

Science and Technology Support Program of Jiangsu Province (Jiangsu Province Science and Technology Support Program) BL2014010
6 · The paper itself

Abstract

To investigate whether metformin add-on to the continuous subcutaneous insulin infusion (Met + CSII) therapy leads to a significant reduction in insulin doses required by type 2 diabetes (T2D) patients to maintain glycemic control, and an improvement in glycemic variation (GV) compared to CSII only therapy. We analyzed data from our two randomized, controlled open-label trials. Newly diagnoses T2D patients were randomized assigned to receive either CSII therapy or Met + CSII therapy for 4 weeks. Subjects were subjected to a 4-day continuous glucose monitoring (CGM) at the endpoint. Insulin doses and GV profiles were analyzed. The primary endpoint was differences in insulin doses and GV between the two groups. A total of 188 subjects were admitted as inpatients. Subjects in metformin add-on therapy required significantly lower total, basal and bolus insulin doses than those of control group. CGM data showed that patients in Met + CSII group exhibited significant reduction in the 24-hr mean amplitude of glycemic excursions (MAGE), the standard deviation, and the coefficient of variation compared to those of control group. Our data suggest that metformin add-on to CSII therapy leads to a significant reduction in insulin doses required by T2D patients to control glycemic variations.

Indexed as

AdultBlood GlucoseBlood Glucose Self-MonitoringDiabetes Mellitus, Type 2Drug Therapy, CombinationFemaleHumansHypoglycemic AgentsInfusions, SubcutaneousInsulinMaleMetforminMiddle AgedBlood GlucoseHypoglycemic AgentsInsulinMetformin

Identifiers

PMID29946148
PMCPMC6018811

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.