Evidence map›Paper›PMID 29106039›Full record

Observational studyDiabetes, obesity & metabolism2018

A European, multicentre, retrospective, non-interventional study (EU-TREAT) of the effectiveness of insulin degludec after switching basal insulin in a population with type 1 or type 2 diabetes.

Thorsten Siegmund, Nikolaos Tentolouris, Søren T Knudsen, Annunziata Lapolla, Rudolf Prager, Tra-Mi Phan, Michael L Wolden, Bernd Schultes, EU-TREAT study group

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Diabetes, obesity & metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02662114 (A European Multi-centre, Retrospective, Non-interventional Study of the Effectiveness of Tresiba®), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.9field-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.

NCT02662114 completednot on this map

A European Multi-centre, Retrospective, Non-interventional Study of the Effectiveness of Tresiba® (Insulin Degludec) After Switching Basal Insulin in a Population With Type 1 or Type 2 Diabetes Mellitus

TypeobservationalSponsorNovo Nordisk A/SRan2015 to 2016Enrolled2,302ConditionsDiabetes, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2ArmsNo treatment given
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Insulin Degludec in People with Type 2 Diabetes in China: A Non-interventional, Retrospective Chart Review Study (CN-TREAT).Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Article
  6. Insulin degludec in pregestational diabetes: evidence and perspectives.Archives of medical sciences. Atherosclerotic diseases · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Insulin doses requirements in patients with type 1 diabetes using glargine U300 or degludec in routine clinical practice.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2021
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Switching Patients with Type 1 Diabetes to Insulin Degludec from Other Basal Insulins: Real-World Data of Effectiveness and Safety.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020
    Article
  17. Article
  18. Observational
  19. 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
  20. 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

9 authors at 6 institutions in 5 countries.

Thorsten SiegmundDepartment for Endocrinology, Diabetes and Metabolism, ISAR Klinikum München GmbH, Munich, Germany.ORCID 0000-0002-9442-3578
Nikolaos Tentolouris1st Department of Propaedeutic and Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Søren T KnudsenMedical Department MEA (Diabetes and Endocrinology), Aarhus University Hospital, Aarhus, Denmark.
Annunziata LapollaDepartment of Medicine, Padova University, Padua, Italy.ORCID 0000-0002-9207-7704
Rudolf PragerDepartment of Metabolic Disorders and Nephrology, Hietzing Hospital, Vienna, Austria.
Tra-Mi PhanNovo Nordisk Region Europe A/S, Copenhagen, Denmark.
Michael L WoldenNovo Nordisk A/S, Copenhagen, Denmark.
Bernd SchulteseSwiss Medical and Surgical Center, St Gallen, Switzerland.
EU-TREAT study group
Novo Nordisk (Denmark) · DKAarhus University Hospital · DKeSwiss Medical and Surgical Center · CHKlinik Hietzing · ATNational and Kapodistrian University of Athens · GRUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo evaluate the clinical effectiveness of switching to insulin degludec (IDeg) in insulin-treated patients with either type 1 diabetes (T1DM) or type 2 diabetes (T2DM) under conditions of routine clinical care. MATERIALS AND

methodsThis was a multicentre, retrospective, chart review study. In all patients, basal insulin was switched to IDeg at least 6 months before the start of data collection. Baseline was defined as the most recent recording during the 3-month period before first prescription of IDeg. Values are presented as mean [95%CI].

resultsT1DM (n = 1717): HbA1c decreased by -2.2 [-2.6; -2.0] mmol/mol (-0.20 [-0.24; -0.17]%) at 6 months vs baseline (P < .001). Rate ratio of overall (0.79 [0.69; 0.89]), non-severe nocturnal (0.54 [0.42; 0.69]) and severe (0.15 [0.09; 0.24]) hypoglycaemia was significantly lower in the 6-month post-switch period vs the pre-switch period (P < .001 for all). Total daily insulin dose decreased by -4.88 [-5.52; -4.24] U (-11%) at 6 months vs baseline (P < .001). T2DM (n = 833): HbA1c decreased by -5.6 [-6.3; -4.7] mmol/mol (-0.51 [-0.58; -0.43] %) at 6 months vs baseline (P < .001). Rate ratio of overall (0.39 [0.27; 0.58], P < .001), non-severe nocturnal (0.10 [0.06; 0.16], P < .001) and severe (0.075 [0.01; 0.43], P = .004) hypoglycaemia was significantly lower in the 6-month post-switch period vs the pre-switch period. Total daily insulin dose decreased by -2.48 [-4.24; -0.71] U (-3%) at 6 months vs baseline (P = .006). Clinical outcomes for T1DM and T2DM at 12 months were consistent with results at 6 months.

conclusionsThis study demonstrates that switching patients to IDeg from other basal insulins improves glycaemic control and significantly reduces the risk of hypoglycaemia in routine clinical practice.

Indexed as

Administration, OralAgedBody WeightDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Drug Administration ScheduleFemaleGlycated HemoglobinHumansHypoglycemiaHypoglycemic AgentsInsulin, Long-ActingInsulinsMaleMiddle AgedRetrospective StudiesGlycated HemoglobinHypoglycemic Agentsinsulin degludecInsulin, Long-ActingInsulinsbasal insulinhypoglycaemiainsulin analoguesobservational study

Identifiers

PMID29106039
PMCPMC5836866
OpenAlexW2767832909

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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.