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. 2014 Dec 15;5(6):877–881. doi: 10.4239/wjd.v5.i6.877

Table 1.

Review of studies comparing different insulin regimens

Ref. Method/population Outcome
de Beaufort et al[10] Observational cross-sectional international study/2036 patients(11-18 yr) No improvement in glycaemic control over a decade Those on twice daily free mix had significantly better control and the ones on twice daily injections had the worst HbA1c
Holl et al[11] Multicentre Observational study/872 patients (11-18 yr) Deterioration in metabolic control in all three groups over 3 yr period One group had moved from twice daily to multiple injections
Haller et al[12] Observational Study (enrolled patients were on preferred regimes from 12 paediatric endocrinologists)/229 patients (9-15 yr) Increased number of insulin types correlated with increased HbA1c
Nordly et al[13] Multicentre cross sectional sudy/874 (< 16 yr) Children with 2 injections a day had significantly better control than children on 3 or four injections a day
Paris et al[14] Multicentre cross-sectional study/2743 patients (< 20 yr) Insulin pump users had better control. No difference between MDI or 2-3 injections a day
Jakisch et al[15] Multicentre matched pair cohort analysis, comparing CSII to MDI/434 matched pairs Significantly better HbA1c in CSII group after 1 yr but subsequently no difference at 3 yr

MDI: Multiple daily insulin; CSII: Continuous subcutaneous insulin infusion; HbA1c: Hemoglobin A1c.