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. 2009 Oct 1;9(19):1–42.

Table 3: GRADE Quality Assessment for CSII pumps vs. MDI on HbA1c Adults with Type 2 Diabetes.

Study Design Study Quality Consistency Directness Other modifying factors Overall quality of evidence

Raskin 2003
RCT

Serious
limitations*

MODERATE


Consistent


LOW


Indirect


LOW
Herman 2005 RCT

HIGH
Not applicable LOW
*

Inadequate or unknown allocation concealment (all studies); Unblinded assessment (all studies) however lack of blinding due to the nature of the study; ITT not well explained in 1 of 2 studies

Indirect due to lack of generalizability of findings since participants varied with respect to prior treatment regimens and intensive SMBG suggests highly motivated populations used in trials.