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The head-to-head comparison of insulin glargine 300 units/ml and degludec 100 units/ml using the CGM technology: results of the InRange trial


Authors: Peter Novodvorský 1,2,3
Authors place of work: metabolické centrum s. r. o., Trenčín 1;  Centrum diabetologie IKEM, Praha 2;  Department of Oncology and Metabolism, Medical School, University of Sheffield, United Kingdom 3
Published in the journal: Diab Obez 2023; 23(45): 54-58
Category: Clinical studies

Summary

Type 1 diabetes (T1DM) represents an autoimmune form of diabetes which differs from other types of diabetes in several important characteristics that make the population of patients with this condition more vulnerable, for example towards hypoglycemia. The InRange trial represents a first head-to-head comparison of the two-2nd generation basal insulin analogues – insulin glargine 300 units/ml and insulin degludec 100 units/ ml in a form of a standard randomized controlled trial. Another primacy of InRange trial lies in the fact that it used CGM-based metrics (TIR, %CV) as primary and main secondary efficacy endpoints, respectively. In this article, I discuss the rationale, design and main results of the InRange trial as well as their implications for clinical practice.

Keywords:

basal insulin – glargine 300 U/ml – hypoglycaemia – continuous glucose monitoring (CGM) – glargine 100 U/ml hypoglycaemia – insulin degludec 100 U/ml – type 1 diabetes (T1DM)


Zdroje

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14. Battelino T, Bosnyak Z, Danne T et al. InRange: Comparison of the Second-Generation Basal Insulin Analogues Glargine 300 U/mL and Degludec 100 U/mL in Persons with Type 1 Diabetes Using Continuous Glucose Monitoring-Study Design. Diabetes Ther 2020; 11(4): 1017–1027. Dostupné z DOI: <http://dx.doi.org/10.1007/s13300–020–00781–6>.

15. Battelino T, Bosnyak Z, Danne T et al. Correction to: InRange: Comparison of the Second-Generation Basal Insulin Analogues Glargine 300 U/mL and Degludec 100 U/mL in Persons with Type 1 Diabetes Using Continuous Glucose Monitoring-Study Design. Diabetes Ther 2020; 11(8): 1907–1908. Dostupné z DOI: <http://dx.doi.org/10.1007/s13300–020–00853–7>. Erratum for In- Range: Comparison of the Second-Generation Basal Insulin Analogues Glargine 300 U/mL and Degludec 100 U/mL in Persons with Type 1 Diabetes Using Continuous Glucose Monitoring-Study Design. Battelino T, Bosnyak Z, Danne T et al. Diabetes Ther 2020; 11(4): 1017–1027. Dostupné z DOI: <http://dx.doi.org/10.1007/s13300–020–00781–6>.

16. Battelino T, Danne T, Edelman SV et al. Continuous glucose monitoring-based time-in-range using insulin glargine 300 units/ml versus insulin degludec 100 units/ml in type 1 diabetes: The head-to-head randomized controlled InRange trial. Diabetes Obes Metab 2023; 25(2): 545–555. Dostupné z DOI: <http://dx.doi.org/10.1111/dom.14898>.

Štítky
Diabetology Obesitology

Článok vyšiel v časopise

Diabetes and obesity

Číslo 45

2023 Číslo 45
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