Evidence map›Paper›PMID 31168938›Full record

Trial reportJournal of diabetes investigation2020

Dulaglutide-combined basal plus correction insulin therapy contributes to ideal glycemic control in non-critical hospitalized patients.

Nobutoshi Fushimi, Takashi Shibuya, Yohei Yoshida, Shun Ito, Hiroki Hachiya, Akihiro Mori

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of diabetes investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
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  17. Blood glucose control: Where are we?Journal of diabetes investigation · 2021
    Article
  18. Article
  19. Mechanisms of the Regulation and Dysregulation of Glucagon Secretion.Oxidative medicine and cellular longevity · 2020
    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

6 authors at 1 institution in 1 country.

Nobutoshi FushimiDepartment of Endocrinology and Diabetes, Ichinomiyanishi Hospital, Aichi, Japan.ORCID https://orcid.org/0000-0001-6004-6885
Takashi ShibuyaDepartment of Endocrinology and Diabetes, Ichinomiyanishi Hospital, Aichi, Japan.
Yohei YoshidaDepartment of Endocrinology and Diabetes, Ichinomiyanishi Hospital, Aichi, Japan.
Shun ItoDepartment of Endocrinology and Diabetes, Ichinomiyanishi Hospital, Aichi, Japan.
Hiroki HachiyaDepartment of Endocrinology and Diabetes, Ichinomiyanishi Hospital, Aichi, Japan.
Akihiro MoriDepartment of Endocrinology and Diabetes, Ichinomiyanishi Hospital, Aichi, Japan.
Ichinomiya Kenshin College · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionWe investigated whether dulaglutide (DU)-combined conventional insulin therapy is beneficial for glycemic control in non-critically ill hospitalized patients with type 2 diabetes. MATERIALS AND

methodsThis study was a prospective, randomized controlled pilot study. Participants were randomized to either basal-plus (BP) therapy, where basal insulin and corrective doses of regular insulin were administered before meals, or BP + DU therapy, where BP therapy was combined with DU. Blood glucose (BG) levels before and after every meal were measured for 7 days after assignment to groups. Because we consider the ideal BG during hospitalization to be within 100-180 mg/dL, we defined this range as the hospitalized ideal glucose range (hIGR). We compared the percentage of BG measurements within the hIGR among all BG measurements (%hIGR), mean BG, glucose variability and insulin dose between the two groups.

resultsOf 54 patients, 27 were assigned to the BP group and 27 to the BP + DU group. The %hIGR was significantly higher (44% vs 56%, P < 0.001), and the frequency of BG >240 mg/dL and BG <70 mg/dL was significantly lower in the BP + DU group than in the BP group (both P < 0.001). The mean BG (183 ± 29 vs 162 ± 30 mg/dL, P < 0.05), standard deviation (P < 0.01), coefficient of variation (P < 0.01) and total regular insulin dose (P < 0.05) in the BP + DU group were significantly lower than those in the BP group. No significant side-effects were observed in either group.

conclusionsBP + DU therapy reduced the frequency of hyperglycemia and hypoglycemia, and resulted in a lower glucose variability.

Indexed as

AgedBiomarkersBlood GlucoseDiabetes Mellitus, Type 2FemaleFollow-Up StudiesGlucagon-Like PeptidesGlycated HemoglobinHospitalizationHumansHyperglycemiaHypoglycemiaHypoglycemic AgentsImmunoglobulin Fc FragmentsInsulinMaleBiomarkersBlood GlucosedulaglutideGlucagon-Like PeptidesGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsImmunoglobulin Fc FragmentsInsulinRecombinant Fusion ProteinsGlucagon-like peptide-1 receptor agonistInpatientsType 2 diabetes

Identifiers

PMID31168938
PMCPMC6944833
OpenAlexW2950416999

What OpenQuestion holds

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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.