Evidence mapPaperPMID 40116796Full record

ReviewDiabetes care2025

The Modern Role of Basal Insulin in Advancing Therapy in People With Type 2 Diabetes.

Geremia B Bolli, Philip D Home, Francesca Porcellati, Matthew C Riddle, Hertzel C Gerstein, Paola Lucidi, Carmine G Fanelli, David R Owens

Abstract readReview
In one paragraph

Review in Diabetes care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
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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.

Geremia B BolliDepartment of Medicine and Surgery, Perugia University Medical School, Perugia, Italy.ORCID 0000-0003-4966-4003
Philip D HomeTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, U.K.ORCID 0000-0001-5187-710X
Francesca PorcellatiDepartment of Medicine and Surgery, Perugia University Medical School, Perugia, Italy.ORCID 0000-0001-9291-6734
Matthew C RiddleDivision of Endocrinology, Diabetes & Clinical Nutrition, Department of Medicine, Oregon Health & Science University, Portland, OR.ORCID 0000-0003-1169-3036
Hertzel C GersteinPopulation Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Canada.ORCID 0000-0001-8072-2836
Paola LucidiCentro Diabetologia Asl 2 Umbria 'Centro Storico', Foligno, Italy.
Carmine G FanelliDepartment of Medicine and Surgery, Perugia University Medical School, Perugia, Italy.ORCID 0000-0003-4063-158X
David R OwensCardiff University Medical School, Cardiff, U.K.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Insulin deficiency, often aggravated by insulin resistance, results in type 2 diabetes mellitus (T2DM). With the availability of glucagon-like peptide 1 receptor agonists and sodium-glucose cotransporter 2 inhibitors, basal insulin (BI) therapy is no longer the first-line option after lifestyle modification plus oral agents is insufficient. In contrast to BI, the newer medications require minor titration, lower hyperglycemia in a glucose-dependent manner, and reduce body weight. Importantly, the newer agents reduce cardiorenal events in the short term. Nonetheless, insulin therapy continues to play a key role in control of hyperglycemia and therefore long-term prevention of vascular complications. Its use is essential in many circumstances, including metabolic emergencies, new diabetes onset, latent autoimmune diabetes (LADA), pregnancy, and when other agents are less desirable due to comorbidities. BI is needed in the frequent condition of failure of other therapies to keep HbA1c to target and/or intolerance of them. There are several advantages to the combination of BI with the newer medications given their different but complementary mechanisms of action, primarily, the lower dose of each, improving adherence and outcomes while decreasing the side effects. Multiple choices for single or combination use can better meet the variety of clinical phenotypes in the heterogeneous T2DM population, using the tenets of precision medicine.

Indexed as

Diabetes Mellitus, Type 2Hypoglycemic AgentsInsulinHumansHypoglycemic AgentsInsulin

Identifiers

PMID40116796
PMCPMC12034903

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.