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- W3197438476 abstract "Introduction Type 1 diabetes is characterized by insulin deficiency and requires near-physiological insulin replacement. In most patients, this is accomplished by basal bolus therapy consisting of a long-acting basal insulin administered once or twice daily and short-acting insulin with main meals. Several long-acting insulin analogs have been developed to optimize basal insulin therapy.Areas covered This paper reviews the design of – and data from – randomized controlled trials (RCTs) to assess glucose lowering efficacy and safety of long-acting insulin analogs for the treatment of type 1 diabetes.Expert opinion Due to the non-inferiority treat-to-target design of insulin, RCTs treatment differences primarily appear as differences in hypoglycemia risk. Data suggest that the first generation long-acting insulin analogs insulin glargine U100 and insulin detemir have a similar glucose lowering efficacy compared to NPH insulin but a lower risk of hypoglycemia, particularly during nighttime. The newer analogs insulin glargine U300 and insulin degludec provide non-inferior efficacy, although insulin glargine U300 is less potent unit-to-unit. Insulin degludec reduces hypoglycemia risk compared to insulin glargine U100. Future studies should explore the potential for further improvement of treatment results in type 1 diabetes by a structured approach to personalization of basal insulin therapy." @default.
- W3197438476 created "2021-09-13" @default.
- W3197438476 creator A5016370069 @default.
- W3197438476 creator A5026845633 @default.
- W3197438476 creator A5090039776 @default.
- W3197438476 date "2021-09-01" @default.
- W3197438476 modified "2023-10-03" @default.
- W3197438476 title "Synthetic long-acting insulin analogs for the management of type 1 diabetes: an update" @default.
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- W3197438476 doi "https://doi.org/10.1080/14656566.2021.1970136" @default.
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