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Evid Based Nurs 9:20 doi:10.1136/ebn.9.1.20
  • Treatment

Glargine dose titration by patients and by physicians were equally effective for preventing severe hypoglycaemia


 
 Q In patients with suboptimally controlled type 2 diabetes mellitus, is insulin glargine dose titration by a physician equivalent to titration by the patient for preventing severe hypoglycaemia and improving glycaemic control?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

unclear concealment.

GraphicBlinding:

unblinded

GraphicFollow up period:

24 weeks.

GraphicSetting:

611 centres in 59 countries in western and eastern Europe, South America, Asia, and Africa/Middle East.

GraphicPatients:

5033 patients ⩾18 years of age (mean age 58 y, 52% women) who had suboptimally controlled type 2 diabetes mellitus (ie, required basal long acting insulin for control of hyperglycaemia), glycated haemoglobin [HbA1C] concentrations >7.0 and <12.0%, and body mass index <40 kg/m2. Exclusion criteria …

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