Evidence map›Paper›PMID 29272064›Full record

Observational studyDiabetes, obesity & metabolism2018

Real-world evidence concerning clinical and economic outcomes of switching to insulin glargine 300 units/mL vs other basal insulins in patients with type 2 diabetes using basal insulin.

Fang Liz Zhou, Fen Ye, Paulos Berhanu, Vineet E Gupta, Rishab A Gupta, Jennifer Sung, Jukka Westerbacka, Timothy S Bailey, Lawrence Blonde

Open access · hybridAbstract readComparative 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. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
7.3field-weighted citation impact, top 2% 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

46 citing papers in PubMed, 74 citations in OpenAlex.

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  9. Insulin glargine 300 U/mL safety data in pregnancy.Diabetes, obesity & metabolism · 2025
    Article
  10. Article
  11. Basal Insulinotherapy in Patients Living with Diabetes in France: The EF-BI Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Real-World Effectiveness and Safety of Insulin Glargine 300 U/mL in Insulin-Naïve People with Type 2 Diabetes: the ATOS Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2022
    Article
  17. Clinical Use of Insulin Glargine 300 U/mL in Adults with Type 2 Diabetes: Hypothetical Case Studies.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2022
    Review
  18. Observational
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  20. 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

9 authors at 5 institutions in 2 countries.

Fang Liz ZhouSanofi, Bridgewater, New Jersey.ORCID 0000-0003-1353-6376
Fen YeSanofi, Bridgewater, New Jersey.
Paulos BerhanuSanofi, Bridgewater, New Jersey.
Vineet E GuptaAccenture, Florham Park, New Jersey.
Rishab A GuptaAccenture, Florham Park, New Jersey.
Jennifer SungSanofi, Bridgewater, New Jersey.
Jukka WesterbackaSanofi, Paris, France.
Timothy S BaileyAMCR Institute, Escondido, California.
Lawrence BlondeOchsner Medical Center, New Orleans, Louisiana.ORCID 0000-0003-0492-6698
Sanofi (United States) · USLi Creative Technologies (United States) · USAMCR Institute · USOchsner Medical Center · USSanofi (France) · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective cohort study compared real-world clinical and healthcare-resource utilization (HCRU) data in patients with type 2 diabetes using basal insulin (BI) who switched to insulin glargine 300 units/mL (Gla-300) or another BI. Data from the Predictive Health Intelligence Environment database 12 months before (baseline) and 6 months after (follow-up) the switch date (index date, March 1, 2015 to May 31, 2016) included glycated haemoglobin A1c (HbA1c), hypoglycaemia, HCRU and associated costs. Baseline characteristics were balanced using propensity score matching. Change in HbA1c from baseline was similar in both matched cohorts (n = 1819 in each). Hypoglycaemia incidence and adjusted event rate were significantly lower with Gla-300. Patients switching to Gla-300 had a significantly lower incidence of HCRU related to hypoglycaemia. All-cause and diabetes-related hospitalization and emergency-department HCRU were also favourable for Gla-300. Lower HCRU translated to lower costs in patients using Gla-300. In this real-world study, switching to Gla-300 reduced the risk of hypoglycaemia in patients with type 2 diabetes when compared with those switching to another BI, resulting in less HCRU and potential savings of associated costs.

Indexed as

Cost SavingsHealth Care CostsCohort StudiesCosts and Cost AnalysisDelivery of Health Care, IntegratedDiabetes Mellitus, Type 2Drug CompoundingDrug MonitoringElectronic Health RecordsFemaleFollow-Up StudiesGlycated HemoglobinHumansHyperglycemiaHypoglycemiaInsulinGlycated Hemoglobinhemoglobin A1c protein, humanInsulinInsulin Glarginebasal insulinglycaemic controlhypoglycaemiaobservational studytype 2 diabetes

Identifiers

PMID29272064
PMCPMC5947830
OpenAlexW2777315381

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.