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. 2014 Sep 2;53(9):787–800. doi: 10.1007/s40262-014-0165-y

Table 4.

Summary of efficacy and hypoglycaemia data for insulin degludec versus insulin glargine in clinical trials in adult subjects with type 1 or type 2 diabetes mellitus

Study name Study population Efficacy Changes in the rate of hypoglycaemia with IDeg vs. IGlar (% reduction)
Reduction in HbA1c with IDeg vs. IGlar, ETD (%) Reduction in FPG levels with IDeg vs. IGlar, ETD (mmol/L) Overall confirmed hypoglycaemia Nocturnal confirmed hypoglycaemia
BEGIN®: T1 [48] T1DM −0.01; non-inferior −0.33 7 ↑ 25 
BEGIN®: Flex T1 [49]a T1DM 0.17; non-inferior −0.05 3 ↑ 40 
BEGIN®: Once Long [50] T2DM, insulin naive 0.09; non-inferior −0.43 18 ↓ 36 
BEGIN®: LOW VOLUME [51] T2DM, insulin naive 0.04; non-inferior −0.42 14 ↓ 36 ↓
BEGIN®: BB [52] T2DM 0.08; non-inferior −0.29 18  25 
BEGIN®: FLEX [53]b T2DM, insulin naive and insulin treated 0.04; non-inferior −0.42 3 ↑ 23 ↓
BEGIN®: ONCE ASIA [54] T2DM, insulin naive 0.11; non-inferior −0.09 18 ↓ 38 ↓

The values in bold indicate a significant difference between insulin degludec and insulin glargine (p < 0.05)

ETD estimated treatment difference, FPG fasting plasma glucose, HbA 1c glycated haemoglobin, IDeg insulin degludec, IGlar insulin glargine, T1DM type 1 diabetes mellitus, T2DM type 2 diabetes mellitus

aIDeg ‘Forced-flex’ (IDeg administered in a fixed schedule with 8–40 h interval between doses) data compared with IGlar

bIDeg ‘Flex’ (IDeg administered in a pre-specified dosing schedule with 8–40 h interval between doses) data compared with IGlar