Evidence map›Paper›PMID 31597169›Full record

Observational studyExperimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association2021

Effectiveness of Insulin Degludec in Thai Patients with Diabetes Mellitus: Real-World Evidence From a Specialized Diabetes Center.

Yotsapon Thewjitcharoen, Nalin Yenseung, Areeya Malidaeng, Siriwan Butadej, Phawinpon Chotwanvirat, Sirinate Krittiyawong, Chattip Thammawiwat, Thep Himathongkam

Abstract readObservational Study
In one paragraph

Observational study in Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

8 authors.

Yotsapon ThewjitcharoenDiabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand.
Nalin YenseungDiabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand.
Areeya MalidaengDiabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand.
Siriwan ButadejDiabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand.
Phawinpon ChotwanviratDiabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand.
Sirinate KrittiyawongDiabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand.
Chattip ThammawiwatDiabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand.
Thep HimathongkamDiabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsulin degludec, an ultra-long-acting insulin analogue, has been available in Thailand since October 2016. Although clinical trial results revealed less hypoglycemia, data from real-world settings is limited especially in Asian patients. This study aimed to evaluate prospectively the real-world effectiveness, safety, quality of life (QOL) and patient satisfaction with insulin degludec among Thai patients with diabetes mellitus (DM).

methodsFrom October 2016 to September 2017, all patients who had started insulin degludec for at least 3 months were observed and evaluated at baseline, 3, 6, and 12 months. QOL was assessed using WHOQOL-BREF-THAI and level of satisfaction was measured by 7-point Likert scale. Glycemic fluctuation from paired iPro2 continuous glucose monitoring (CGM) obtained 4-6 weeks apart were also evaluated from a subset of patients with T1DM who switched from insulin glargine to insulin degludec.

resultsA total of 55 patients (T2DM 76.4%, females 54.5%, mean age 57.1±16.1 years, duration of diabetes 16.7±8.8 years, BMI 27.3±5.5 kg/m DISCUSSION: Our data suggested that the effectiveness of insulin degludec was consistent with the results seen in clinical trials with lower risk of patients-reported hypoglycemia, and a significant improvement in glycemic control. Patients also reported higher treatment satisfaction. More long-term and cost-effectiveness data are needed to establish the role of this ultra-long-acting insulin in real-world settings.

Indexed as

Patient SatisfactionQuality of LifeAdultAgedDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleHospitals, SpecialHumansHypoglycemic AgentsInsulin, Long-ActingMaleMiddle AgedOutcome Assessment, Health CareProspective StudiesThailandHypoglycemic Agentsinsulin degludecInsulin, Long-Acting

Identifiers

PMID31597169
PMCPMC8416321

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.