Evidence mapPaperPMID 31264346Full record

ArticleDiabetes, obesity & metabolism2019

Switching to insulin glargine 300 units/mL in real-world older patients with type 2 diabetes (DELIVER 3).

Timothy S Bailey, Jasmanda Wu, Fang L Zhou, Rishab A Gupta, Arjun A Menon, Paulos Berhanu, Jukka Westerbacka, John Van Vleet, Lawrence Blonde

Abstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Trial
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  5. Article
  6. Observational
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  9. Observational
  10. Review
  11. Review
  12. Article
  13. Clinical Use of Insulin Glargine 300 U/mL in Adults with Type 2 Diabetes: Hypothetical Case Studies.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2022
    Review
  14. Article
  15. Observational
  16. Article
  17. Review
  18. Article
  19. Impact of Age on the Effectiveness and Safety of Insulin Glargine 300 U/mL: Results from the REALI European Pooled Data Analysis.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2021
    Article
  20. 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.

Timothy S BaileyAMCR Institute, Escondido, California.
Jasmanda WuDepartment of Real-World Evidence & Clinical Outcomes, Sanofi, Bridgewater, New Jersey.ORCID 0000-0001-9346-7715
Fang L ZhouDepartment of Real-World Evidence & Clinical Outcomes, Sanofi, Bridgewater, New Jersey.ORCID 0000-0003-1353-6376
Rishab A GuptaDepartment of Applied Intelligence, Accenture, Florham Park, New Jersey.
Arjun A MenonDepartment of Applied Intelligence, Accenture, Florham Park, New Jersey.
Paulos BerhanuDepartment of US Medical Affairs, Sanofi, Bridgewater, New Jersey.
Jukka WesterbackaDepartment of Global Medical Affairs, Sanofi, Paris, France.
John Van VleetDepartment of Real-World Evidence & Clinical Outcomes, Sanofi, Bridgewater, New Jersey.
Lawrence BlondeFrank Riddick Diabetes Institute, Endocrinology Department, Ochsner Medical Center, New Orleans, Louisiana.ORCID 0000-0003-0492-6698

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare the second-generation basal insulin glargine 300 units/mL (Gla-300) and first-generation basal insulins on glycaemic control and hypoglycaemia risk in older adults with type 2 diabetes (T2D). MATERIALS AND

methodsDELIVER 3 was a retrospective observational cohort study of electronic medical records. A total of 1176 older adults (aged ≥ 65 years) with T2D and ≥1 HbA1c value during 6 month baseline and 3 to 6 month follow-up who switched from basal insulin to Gla-300 were propensity score-matched to 1176 older adults who switched to a first-generation basal insulin [insulin detemir (IDet) or insulin glargine 100 units/mL (Gla-100)]. Outcomes were follow-up HbA1c, achievement of HbA1c <7% and <8%, hypoglycaemia incidence and event rates, and healthcare resource utilization.

resultsFollowing basal insulin switching, HbA1c reductions were greater/similar with Gla-300 versus IDet/Gla-100 (variable follow-up: -0.45% ± 1.40% vs. -0.29% ± 1.57%; P = .021; fixed follow-up: -0.48% ± 1.49% vs. -0.38% ± 1.59%; P = .114), while HbA1c goal attainment was similar in both cohorts. Gla-300 was associated with less hypoglycaemia [event rate: adjusted rate ratio (aRR): 0.63, 95% CI: 0.53-0.75; P < .001] and inpatient/emergency department-associated hypoglycaemia (adjusted hazard ratio: 0.58, 95% CI: 0.37-0.90; P = .016; aRR: 0.43, 95% CI: 0.31-0.60; P < .001) by variable follow-up. By fixed follow-up, hypoglycaemia results significantly or numerically favoured Gla-300.

conclusionAmong older adults with T2D, switching to Gla-300 versus Gla-100/IDet was associated with greater/similar improvements in glycaemic control, and generally less hypoglycaemia.

Indexed as

Diabetes Mellitus, Type 2AgedAged, 80 and overFemaleGlycated HemoglobinHospitalizationHumansHypoglycemiaInsulin GlargineMaleRetrospective StudiesGlycated Hemoglobinhemoglobin A1c protein, humanInsulin Glarginehypoglycaemiainsulin glargine 300 units/mLreal-world studytype 2 diabetes

Identifiers

PMID31264346
PMCPMC6851991

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.