Evidence map›Paper›PMID 31347100›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2019

Simplifying Complex Insulin Regimens While Preserving Good Glycemic Control in Type 2 Diabetes.

Zoltán Taybani, Balázs Bótyik, Mónika Katkó, András Gyimesi, Tamás Várkonyi

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04020445 (Simplification of Complex Insulin Regimens With Preserving Good Glycemic Control in Type 2 Diabetes), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.3field-weighted citation impact, top 5% 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.

NCT04020445 completednot on this map

Simplification of Complex Insulin Regimens With Preserving Good Glycemic Control in Type 2 Diabetes

TypeobservationalSponsorBekes County Central HospitalRan2016 to 2022Enrolled150ConditionsHBA1c, Body Weight, HypoglycemiaArmsde-escalation of complex insulin regimens
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Use of Fixed Ratio Combinations to Improve Glycemic Control in Individuals with Type 2 Diabetes: Experts' Opinion from the Gulf Region.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
  8. Observational
  9. Article
  10. Review
  11. Review
  12. Endocrinology: What You May Have Missed in 2024.Annals of internal medicine · 2025
    Review
  13. The role of medication regimen complexity in diabetes management: a rapid review.Therapeutic advances in endocrinology and metabolism · 2025
    Review
  14. Article
  15. Article
  16. SPIRIT: Assessing Clinical Parameters Associated with Using IDegLira in Patients with Type 2 Diabetes in a Real-World Setting in Colombia.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Article
  17. The IDEAL (Insulin therapy DE-intensificAtion with iglarLixi) Randomised Controlled Trial-Study Design and Protocol.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Article
  18. Article
  19. Therapeutic Inertia in the Management of Type 2 Diabetes: A Narrative Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Review
  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

5 authors at 3 institutions in 1 country.

Zoltán Taybani1st Department of Endocrinology, Dr. Réthy Pál Member Hospital, Békés County Central Hospital, Gyulai street 18, Békéscsaba, 5600, Hungary. taybanizoltan@gmail.com.ORCID http://orcid.org/0000-0002-6880-5425
Balázs Bótyik1st Department of Endocrinology, Dr. Réthy Pál Member Hospital, Békés County Central Hospital, Gyulai street 18, Békéscsaba, 5600, Hungary.
Mónika KatkóDivision of Endocrinology, Department of Internal Medicine, Faculty of Medicine, University of Debrecen, Nagyerdei krt. 98, Debrecen, 4032, Hungary.
András Gyimesi1st Department of Endocrinology, Dr. Réthy Pál Member Hospital, Békés County Central Hospital, Gyulai street 18, Békéscsaba, 5600, Hungary.
Tamás Várkonyi1st Department of Internal Medicine, University of Szeged, Korányi fasor 8, Szeged, 6720, Hungary.
Békés Megyei Központi Kórház · HUUniversity of Debrecen · HUUniversity of Szeged · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionType 2 diabetic patients suffering from severe hyperglycemia are often assigned a regimen involving multiple daily injections (MDI) of insulin. If the glucose toxicity resolves, the regimen can potentially be simplified, but there are no guidelines for this, and many patients are left on the MDI regimen. We aimed to prospectively examine the safety and efficacy of switching from MDI to once-daily IDegLira, a fixed-ratio combination of insulin degludec and liraglutide, in relatively well controlled (HbA1c ≤ 7.5%) subjects with type 2 diabetes on a low total daily insulin dose (TDD).

methods62 adults with type 2 diabetes (baseline age 64.06 ± 10.24 years, HbA

resultsAfter a mean follow-up period of 99.2 days, mean HbA

conclusionIn everyday clinical practice, switching from low-dose MDI to IDegLira in patients with well-controlled type 2 diabetes is safe, may result in weight loss and similar or better glycemic control, and substantially reduces the insulin requirement. Simplifying complex treatment regimens decreases treatment burden and may improve adherence to therapy. CLINICAL TRIAL NUMBER: NCT04020445.

Indexed as

DeintensificationIDegLiraOvertreatmentSimplificationType 2 diabetes

Identifiers

PMID31347100
PMCPMC6778557
OpenAlexW2963960324

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.