← Diet, exercise & lifestyle × glycemic control

TrialDiabetic medicine : a journal of the British Diabetic Association2006

A randomized trial of adding insulin glargine vs. avoidance of insulin in people with Type 2 diabetes on either no oral glucose-lowering agents or submaximal doses of metformin and/or sulphonylureas. The Canadian INSIGHT (Implementing New Strategies with Insulin Glargine for Hyperglycaemia Treatment) Study.

H C Gerstein et al.PubMed ↗Publisher ↗

  • Evening insulin glargine plus self-titration by 1 unit/day if the fasting plasma glucose (FPG) was > 5.5 mmol/lno clear effectNo clear effect on achieve two consecutive HbA1c levels <or= 6.5%.Nothing cleared the noise.

What the trial testedas reported · 2006

Range includes no effect

No clear effect on achieve two consecutive HbA1c levels <or= 6.5%

1.7×1× to 2.8×

evening insulin glargine plus self-titration by 1 unit/day if the fasting plasma glucose (FPG) was > 5.5 mmol/l vs conventional therapy with physician adjustment of oral glucose-lowering agents if capillary FPG levels were > 5.5 mmol/l

Bigger than 4 in 10 for glycemic control

As reported

RR 1.68, 95% CI 1.00–2.83

+1 more in the walkthrough ↓

Who was studied, and how

70people in the Difference of Basal Insulin Titration Method in Reducing HbA1c Among Type 2 Diabetes Mellitus trial, from 2021
of them with type 2 diabetes, in this paper

The trial randomly assignedassigned by chance

evening insulin glargine plus self-titration by 1 unit/day if the fasting plasma glucose (FPG) was > 5.5 mmol/l
conventional therapy with physician adjustment of oral glucose-lowering agents if capillary FPG levels were > 5.5 mmol/l

No clear effect on achieve two consecutive HbA1c levels <or= 6.5%1.7×

Reported higher greater increase in weight, no range given+1.90

randomised

the abstract, start to end

… receiving glargine: (i) were 1.68 times more likely to achieve two consecutive HbA1c levels <or= 6.5% (95% CI 1.00-2.83; P = 0.049); (ii) reduced their HbA1c by 1.55 vs. 1.25% (P = 0.005), achieving adjusted means of 7.0 vs. 7.2% (P = 0.0007); (iii) had lower FPG (P = 0.0001), non-high-density lipoprotein (HDL) cholesterol (P = 0.02) and triglycerides (P = 0.02); (iv) had greater increases in treatment satisfaction (P = 0.045); and (v) had a 1.9-kg greater increase in weight …

← favours treatmentfavours comparator →
could be chance
No interval given · direction only, strength unknown
Achieve two consecutive HbA1c levels <or= 6.5%evening insulin glargine plus self-titration by 1 unit/day if the fasting plasma glucose (FPG) was > 5.5 mmol/l vs conventional therapy with physician adjustment of oral glucose-lowering agents if capillary FPG levels were > 5.5 mmol/l
RR 1.681.00–2.83
Greater increase in weightevening insulin glargine plus self-titration by 1 unit/day if the fasting plasma glucose (FPG) was > 5.5 mmol/l vs conventional therapy with physician adjustment of oral glucose-lowering agents if capillary FPG levels were > 5.5 mmol/l
1.9
InsulinDiet, exercise & lifestyleGlycemic controlBody weight & composition
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The trial

Full record →Abstract, authors, funding and every citing paper · PMID 16842477