Evidence mapPaperPMID 34330786Full record

ArticleDiabetes care2021

Risk of Major Congenital Malformations or Perinatal or Neonatal Death With Insulin Detemir Versus Other Basal Insulins in Pregnant Women With Preexisting Diabetes: The Real-World EVOLVE Study.

Elisabeth R Mathiesen, Norsiah Ali, Amra C Alibegovic, Eleni Anastasiou, Katarzyna Cypryk, Harold de Valk, Jorge Dores, Fidelma Dunne, Mari-Anne Gall, Santiago Duran Garcia and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 27 citations in OpenAlex.

  1. Insulin glargine 300 U/mL safety data in pregnancy.Diabetes, obesity & metabolism · 2025
    Article
  2. Hydroxychloroquine as an Adjunct Therapy for Diabetes in Pregnancy.International journal of molecular sciences · 2024
    Review
  3. Review
  4. Insulin Use During Gestational and Pre-existing Diabetes in Pregnancy: A Systematic Review of Study Design.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Review
  5. Insulin degludec in pregestational diabetes: evidence and perspectives.Archives of medical sciences. Atherosclerotic diseases · 2024
    Article
  6. Drug Therapies for Diabetes.International journal of molecular sciences · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. 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

16 authors at 12 institutions in 11 countries.

Elisabeth R MathiesenDepartment of Endocrinology, Center for Pregnant Women with Diabetes, Rigshospitalet, Copenhagen, Denmark elisabeth.reinhardt.mathiesen@regionh.dk.ORCID 0000-0003-3279-0863
Norsiah AliMasjid Tanah Health Clinic, Malacca, Malaysia.
Amra C AlibegovicNovo Nordisk A/S, Søborg, Denmark.
Eleni AnastasiouDepartment of Endocrinology-Diabetes Center, Princess Alexandra Hospital, Athens, Greece.
Katarzyna CyprykDepartment of Internal Medicine and Diabetology, Medical University of Łódź, Łódź, Poland.
Harold de ValkDepartment of Internal Medicine, University Medical Centre Utrecht, Utrecht, the Netherlands.
Jorge DoresDepartment of Endocrinology, Centro Hospitalar e Universitário do Porto, Porto, Portugal.
Fidelma DunneCollege of Medicine Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.
Mari-Anne GallNovo Nordisk A/S, Søborg, Denmark.
Santiago Duran GarciaEndo-Diabesidad Clínica Durán & Asociados, Seville, Spain.
Hélène P HanaireDepartment of Diabetology, Metabolic Diseases and Nutrition, University Hospital of Toulouse, University of Toulouse, Toulouse, France.
Lise Lotte N HusemoenNovo Nordisk A/S, Søborg, Denmark.
Marina IvaniševićDepartment of Obstetrics and Gynecology, State Referral Center for Diabetes in Pregnancy, Clinical Hospital Center Zagreb, Zagreb, Croatia.
Hans-Peter KempeCentre for Diabetes and Nutrition Ludwigshafen, Ludwigshafen, Germany.
David R McCanceMetabolic Unit, Royal Victoria Hospital, Belfast, U.K.
Peter DammDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Novo Nordisk (Denmark) · DKUniversity of Copenhagen · DKAlexandra Hospital · GRCentro Hospitalar do Porto · PTKlinikum Ludwigshafen · DEMalacca General Hospital · MYMedical University of Lodz · PLOllscoil na Gaillimhe – University of Galway · IEUniversité Fédérale de Toulouse Midi-Pyrénées · FRUniversity Hospital Centre Zagreb · HRUniversity Medical Center Utrecht · NLUniversity of Ulster · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the risk of severe adverse pregnancy complications in women with preexisting diabetes. RESEARCH DESIGN AND

methodsMultinational, prospective cohort study to assess the prevalence of newborns free from major congenital malformations or perinatal or neonatal death (primary end point) following treatment with insulin detemir (detemir) versus other basal insulins.

resultsOf 1,457 women included, 727 received detemir and 730 received other basal insulins. The prevalence of newborns free from major congenital malformations or perinatal or neonatal death was similar between detemir (97.0%) and other basal insulins (95.5%) (crude risk difference 0.015 [95% CI -0.01, 0.04]; adjusted risk difference -0.003 [95% CI -0.03, 0.03]). The crude prevalence of one or more congenital malformations (major plus minor) was 9.4% vs. 12.6%, with a similar risk difference before (-0.032 [95% CI -0.064, 0.000]) and after (-0.036 [95% CI -0.081, 0.009]) adjustment for confounders. Crude data showed lower maternal HbA

conclusionsInsulin detemir was associated with a similar risk to other basal insulins of major congenital malformations, perinatal or neonatal death, hypoglycemia, preeclampsia, and stillbirth.

Indexed as

Diabetes MellitusPerinatal DeathBlood GlucoseFemaleGlycated HemoglobinHumansHypoglycemic AgentsInfant, NewbornInsulin DetemirInsulin, Long-ActingPregnancyPregnant PeopleProspective StudiesBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulin DetemirInsulin, Long-Acting

Identifiers

PMID34330786
PMCPMC8740922
OpenAlexW3183395862

What Socratic holds

Textmetadata
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.