Evidence map›Paper›PMID 27186563›Full record

ArticleIndian journal of endocrinology and metabolism

Flexibility in insulin prescription.

Sanjay Kalra, Yashdeep Gupta, Ambika Gopalakrishnan Unnikrishnan

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of endocrinology and metabolism. 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
2.0field-weighted citation impact, top 14% 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, 11 citations in OpenAlex.

  1. Optimizing Type 2 Diabetes Management in Iraq: Expert Consensus on Initiation and Intensification of Insulin-Based Treatment Options.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
  2. Article
  3. Insulinization in T2DM with Basal Analogues During COVID-19 Pandemic: Expert Opinion from an Indian Panel.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2021
    Review
  4. Article
  5. Clinical Use of Degludec in Children and Adolescents with T1D: A Narrative Review with Fictionalized Case Reports.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019
    Review
  6. BE-SMART (Basal Early Strategies to Maximize HbA1c Reduction with Oral Therapy): Expert Opinion.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019
    Review
  7. Patient friendly intensification of basal insulin.Annals of translational medicine · 2018
    Article
  8. Article
  9. Timely insulin use: Need for social marketing.Indian journal of endocrinology and metabolism
    Article
  10. Management of Glycemia in Acute Febrile Illness.Indian journal of endocrinology and metabolism
    Review
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

3 authors at 1 institution in 1 country.

Sanjay KalraDepartment of Endocrinology, Bharti Hospital, Karnal, Haryana, India.
Yashdeep GuptaDepartment of Endocrinology, All India Institute of Medical Sciences, New Delhi, India.
Ambika Gopalakrishnan UnnikrishnanDepartment of Endocrinology, Chellaram Diabetes Institute, Pune, Maharashtra, India.
Bharti Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This communication explores the concept of flexibility, a propos insulin preparations and insulin regimes used in the management of type 2 diabetes. The flexibility of an insulin regime or preparation is defined as their ability to be injected at variable times, with variable injection-meal time gaps, in a dose frequency and quantum determined by shared decision making, with a minimal requirement of glucose monitoring and health professional consultation, with no compromise on safety, efficiency and tolerability. The relative flexibility of various basal, prandial and dual action insulins, as well as intensive regimes, is compared. The biopsychosocial model of health is used to assess the utility of different insulins while encouraging a philosophy of flexible insulin usage.

Indexed as

Biphasic aspartbiphasic lisprodegludecdegludec aspartdetemirglargineglulisinehypoglycemiainsulin aspartlisproneutral protamine Hagedorntype 2 diabetes

Identifiers

PMID27186563
PMCPMC4855974
OpenAlexW2325084303

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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 OpenQuestion graph.