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