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. Author manuscript; available in PMC: 2016 Feb 22.
Published in final edited form as: Ann Intern Med. 2008 Sep 15;149(8):549–559. doi: 10.7326/0003-4819-149-8-200810210-00242

Table 1.

Summary of the Strength of Evidence* Comparing Premixed Insulin Analogues to Other Antidiabetic Agents for Intermediate Outcomes and Adverse Events

Premixed Insulin
Analogues vs. Long-
Acting Insulin Analogues
Premixed Insulin
Analogues vs. Premixed
Human Insulin
Premixed Insulin
Analogues vs. Other
Insulin Regimens
Premixed Insulin
Analogues vs. Noninsulin
Antidiabetic Agents
Fasting glucose Moderate SOE favoring
long-acting insulin
analogues
Moderate SOE suggesting
similar effectiveness
Low SOE; unable to make a
conclusion
Moderate SOE favoring
premixed insulin analogues
Postprandial
glucose
High SOE favoring
premixed insulin analogues
High SOE favoring
premixed insulin analogues
Low SOE unable to make a
conclusion
Moderate SOE favoring
premixed insulin analogues
Hemoglobin A1c High SOE favoring
premixed insulin analogues
High SOE suggesting
similar effectiveness
Low SOE; unable to make a
conclusion
Moderate SOE favoring
premixed insulin analogues
Hypoglycemia High SOE favoring long-
acting insulin analogues
High SOE favoring
premixed human insulin
Low SOE; unable to make a
conclusion
High SOE favoring
noninsulin antidiabetic
agents
Weight Moderate SOE favoring
long-acting insulin
analogues
Moderate SOE suggesting
similar effectiveness
Low SOE; unable to make a
conclusion
Moderate SOE favoring
noninsulin antidiabetic
agents
All-cause
mortality, CVD
mortality and
morbidity
Low SOE; unable to make a conclusion

Definitions for strength of evidence: High = further research is very unlikely to change our confidence in the estimates; Moderate = further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate; Low = further research is likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate

CVD = cardiovascular disease; NA = not applicable; SOE = strength of evidence