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.