Evidence map›Paper›PMID 33938149›Full record

Observational studyJournal of diabetes investigation2021

Comparative clinical outcomes of insulin degludec and insulin glargine 300 U/mL after switching from other basal insulins in real-world patients with type 1 and type 2 diabetes.

Junko Oya, Tomoko Nakagami, Yukiko Hasegawa, Aki Katamine, Yuichiro Kondo, Tetsuya Babazono

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of diabetes investigation, 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
0.9field-weighted citation impact, top 26% of its field
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, 7 citations in OpenAlex.

  1. Observational
  2. Insulin Degludec vs Insulin Glargine for Glycemic Control in Critical Illness Hyperglycemia.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  3. Insulin degludec in pregestational diabetes: evidence and perspectives.Archives of medical sciences. Atherosclerotic diseases · 2024
    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

6 authors at 1 institution in 1 country.

Junko OyaDiabetes Center, Tokyo Women's Medical University, Tokyo, Japan.ORCID https://orcid.org/0000-0002-6413-2606
Tomoko NakagamiDiabetes Center, Tokyo Women's Medical University, Tokyo, Japan.
Yukiko HasegawaDiabetes Center, Tokyo Women's Medical University, Tokyo, Japan.
Aki KatamineDiabetes Center, Tokyo Women's Medical University, Tokyo, Japan.
Yuichiro KondoDiabetes Center, Tokyo Women's Medical University, Tokyo, Japan.
Tetsuya BabazonoDiabetes Center, Tokyo Women's Medical University, Tokyo, Japan.ORCID https://orcid.org/0000-0001-8545-3604
Tokyo Women's Medical University · JP

Funding

Hisako Yamakawa Research Fund from Tokyo Women's Medical University
6 · The paper itself

Abstract

AIMS/

introductionTo evaluate and compare the efficacy of insulin degludec (IDeg) and insulin glargine 300 U/mL (Gla300) 6 months after switching from other basal insulins by assessing the changes in glycated hemoglobin (HbA1c), body mass index (BMI), and insulin doses in patients with type 1 and type 2 diabetes in a real-world clinical setting. MATERIALS AND

methodsA total of 307 patients with type 1 diabetes and 294 patients with type 2 diabetes with HbA1c >7.0% were studied. Adjusted mean changes in HbA1c, BMI, and insulin doses were compared between IDeg (IDeg group) and Gla300 (Gla300 group) switchers. Multivariable logistic regression analyses were carried out to examine whether the IDeg or Gla300 group was associated with HbA1c or insulin dose reduction and BMI gain.

resultsHbA1c was significantly decreased in both the IDeg and Gla300 groups. Adjusted mean changes in HbA1c (approximately -0.3% and -0.5% in type 1 diabetes and type 2 diabetes patients, respectively) and BMI were similar between both groups. The mean change in insulin dose was slightly larger for dose reduction in the IDeg group than in the Gla300 group. Multivariable logistic regression models showed that the IDeg group was significantly associated with insulin dose reduction after adjusting for basal insulin type, insulin dose, and number of basal insulin injections at baseline and other confounding factors.

conclusionsThe current study suggested that IDeg and Gla300 have similar effects in reducing HbA1c and gaining BMI after switching from other basal insulins in Japanese patients with type 1 diabetes and type 2 diabetes. IDeg selection was associated with insulin dose reduction.

Indexed as

Drug SubstitutionAdultAgedBody Mass IndexDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleGlycated HemoglobinHumansHypoglycemic AgentsInsulin GlargineInsulin, Long-ActingInsulinsJapanLogistic ModelsMaleGlycated HemoglobinHypoglycemic Agentsinsulin degludecInsulin GlargineInsulin, Long-ActingInsulinsInsulin degludecInsulin glargine 300 U/mLReal-world clinical setting

Identifiers

PMID33938149
PMCPMC8565408
OpenAlexW3159904509

What Socratic holds

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LicenceCC BY-NC
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.