Evidence mapPaperPMID 41913696Full record

Trial reportJournal of diabetes research2026

The Impact of Different Oral Antidiabetic Drugs on Insulin Pump Intensive Therapy in Type 2 Diabetes Patients: A Clinical Study.

Miaoguan Peng, Yijuan Xie, Naifeng Liang, Shiyun Wen, Yaojie Zhai, Yingjun Xie, Yuyi Chen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of diabetes research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

7 authors.

Miaoguan PengDepartment of Endocrinology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510150, China, gzhmc.edu.cn.
Yijuan XieDepartment of Endocrinology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510150, China, gzhmc.edu.cn.
Naifeng LiangDepartment of Endocrinology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510150, China, gzhmc.edu.cn.
Shiyun WenDepartment of Endocrinology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510150, China, gzhmc.edu.cn.
Yaojie ZhaiDepartment of Endocrinology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510150, China, gzhmc.edu.cn.
Yingjun XieGuangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangzhou Medical University, Guangzhou, 510150, China, gzhmc.edu.cn.ORCID https://orcid.org/0000-0002-4960-2112
Yuyi ChenGuangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangzhou Medical University, Guangzhou, 510150, China, gzhmc.edu.cn.ORCID https://orcid.org/0000-0001-7649-6856

Funding

Guangzhou Research-Oriented HospitalMedical Science and Technology Foundation of Guangdong Province B2025401
6 · The paper itself

Abstract

objectiveThis study aimed to compare the effects of insulin pump intensive therapy alone with those of insulin pump intensive therapy combined with metformin or dapagliflozin on the time to achieve glycemic targets, total insulin dose at the end of intensive therapy, and pancreatic function. The study aimed to understand the impact of adding the traditional antidiabetic drug metformin and the novel antidiabetic drug dapagliflozin to routine intensive insulin therapy on treatment outcomes.

methodsA total of 110 patients with newly diagnosed T2DM (with glycated hemoglobin >9%, fasting blood glucose >11.1 mmol/L, or obvious symptoms of hyperglycemia) were enrolled in a single-center randomized controlled trial. Patients were randomized into three groups. The final analysis included 81 participants (73.6% of the enrolled) with complete data for the primary outcomes, distributed as follows: Group 1 (insulin only, n = 25), Group 2 (insulin plus dapagliflozin, n = 20), and Group 3 (insulin plus metformin, n = 36). The term "newly diagnosed" was defined as a diagnosis confirmed within 1 year prior to enrollment, in accordance with the Chinese guidelines for the prevention and treatment of T2DM. All patients were either treatment-naïve or had not received any sustained glucose-lowering pharmacotherapy for more than 2 weeks since diagnosis. The primary outcomes were the time to achieve glycemic targets, total insulin dose at the end of intensive therapy, and pancreatic function.

resultsThe fasting insulin levels in all the treatment groups changed over time, with greater decreases observed in the insulin pump therapy alone group and the insulin pump therapy + dapagliflozin group than in the insulin pump therapy + metformin group.

conclusionThese findings suggest that compared with metformin, dapagliflozin combined with intensive insulin pump therapy holds greater promise for optimizing glycaemic control in patients with T2DM, thus providing a more promising option for clinical practice.

Indexed as

Benzhydryl CompoundsDiabetes Mellitus, Type 2GlucosidesHypoglycemic AgentsInsulinInsulin Infusion SystemsMetforminAdministration, OralAgedBlood GlucoseDrug Therapy, CombinationFemaleGlycated HemoglobinHumansMaleMiddle AgedBenzhydryl CompoundsBlood GlucosedapagliflozinGlucosidesGlycated HemoglobinHypoglycemic AgentsInsulinMetformindapagliflozinglycaemic controlinsulin pump therapymetforminpancreatic functionT2DM

Identifiers

PMID41913696
PMCPMC13140361

What Socratic holds

Texttitle and abstract
LicenceCC BY
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.