Evidence map›Paper›PMID 41335333›Full record

ArticleActa diabetologica2026

Once-weekly administration of insulin in the real-world management of type 2 diabetes. A Delphi-like consensus.

Riccardo Candido, Raffaella Buzzetti, Agostino Consoli, Concetta Irace, Enrico Torre, Roberto Trevisan, Gian Paolo Fadini, T2D once-Weekly Insulin Expert Panel Group

Abstract readConsensus Statement
In one paragraph

Article in Acta diabetologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

8 authors.

Riccardo CandidoDepartment of Medical, Surgical and Health Sciences, University of Trieste, SC Patologie Diabetiche, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy.ORCID http://orcid.org/0000-0003-2385-9160
Raffaella BuzzettiDepartment of Experimental Medicine, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0003-1490-6041
Agostino ConsoliDepartment of Medicine and Ageing Sciences and CAST, University G. d'Annunzio di Chieti-Pescara, Chieti , Italy.ORCID http://orcid.org/0000-0002-1885-451X
Concetta IraceDepartment of Health Science, University Magna Grᴂcia Catanzaro, Catanzaro, Italy.ORCID http://orcid.org/0000-0001-5182-5473
Enrico TorreDiabetes and Metabolic Diseases Unit, ASL3 Genoa, Genoa, Italy.ORCID http://orcid.org/0000-0002-4375-7383
Roberto TrevisanDepartment of Medicine and Surgery, University of Milano Bicocca, Milan, Italy.ORCID http://orcid.org/0000-0001-8610-4772
Gian Paolo FadiniDepartment of Medicine, University of Padova, Padua, Italy. gianpaolofadini@hotmail.com.ORCID http://orcid.org/0000-0002-6510-2097
T2D once-Weekly Insulin Expert Panel Group

Funding

Edra S.p.A Editorial assistanceNovo Nordisk Unconditional grant
6 · The paper itself

Abstract

backgroundDespite major advancements in diabetes management, insulin therapy continues to have a prominent role in glycemic control, aiding numerous patients. However, treatment-associated unmet needs pose a hindrance to therapy acceptance and adherence, negatively affecting patient outcomes due to less effective glycemic management.

methodA consensus study was conducted using a Delphi-like methodology, with the aim of highlighting and discussing the potential benefits and challenges with the introduction of once-weekly basal insulin icodec in the management of diabetes.

resultsThe consensus firmly highlights the transformative approach and the timely adoption of once-weekly basal insulin for patients affected by type 2 diabetes. Once-weekly insulin icodec was broadly supported as a viable alternative to daily basal insulin, particularly for insulin-naïve individuals and those on basal-only regimens. Key advantages included reduced injection burden, improved adherence, and potential cost savings. The therapy was also seen as a way to counteract therapeutic inertia and improve quality of life. Although some implementation challenges were noted, namely patient selection and titration, most experts endorsed educational efforts and digital tools to support adoption. The panel supported the progressive replacement of daily with weekly basal insulin.

conclusionThe advent of once-weekly insulin icodec therapy is an unprecedent breakthrough in diabetes care. Compared with once-daily insulin analogues, it offers a simplified, secure, enhanced, and sustained glycemic control, counteracting therapeutic inertia, expectedly improving adherence to insulin therapy. Insulin icodec can not only enable personalized treatment and positively impact the clinical outcome, but also improve patient satisfaction and overall quality of life.

Indexed as

Diabetes Mellitus, Type 2Hypoglycemic AgentsInsulinDelphi TechniqueDrug Administration ScheduleHumansHypoglycemic AgentsInsulinDegludecDisease management.GlargineIcodecOnce weekly insulinType 2 diabetes

Identifiers

PMID41335333
PMCPMC12957095

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Registered trials

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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.