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. 2016 Sep 18;2016(9):CD006992. doi: 10.1002/14651858.CD006992.pub2
  Intervention(s) and comparator(s) Duration of intervention Description of participants Country Setting Ethnic groups
 (%) Duration of diabetes
 (mean/range years (SD), or as reported)
Avilés 1999 I: metformin 24 weeks Participants with poorly controlled type 2 diabetes on insulin therapy USA Secondary care outpatients White: 49
 African‐American: 23
 Hispanic :23
 Other: 5 9.2 (6.4)
C: placebo White: 68
 African‐American: 18
 Hispanic: 14 10.1 (4.7)
Barnett 2013 I: saxagliptin 52 weeks Inadequately controlled type 2 diabetes individuals with insulin alone (subgroup in the publication) Canada, Hungary, India, Mexico, Poland, Russia, South Africa, UK Multiple choices possible White: 84.2
Black: 6.3
Asian: 7.4
Other: 2.1
12.1 (6.3)
C: placebo White: 76.1
Black: 10.9
Asian: 6.5
Other: 6.5
10.3 (6.4)
Casner 1988 I: glibenclamide 12 months Participants with type 2 diabetes on insulin therapy USA Unclear Hispanic: 84
 Non‐Hispanic white: 10
 Non‐Hispanic black: 6 14.3 (0.1)
C: placebo Hispanic: 94
 Non‐Hispanic white: 6 10.9 (0.1)
Chiasson 1994 I: acarbose 12 months Participants with type 2 diabetes (26% pretreated with insulin, only results of this subgroup is used) Canada Secondary care outpatients
C: placebo
all: White: 92 12.9 (0.8 SE)
Coniff 1995 I: acarbose 24 weeks Insulin pretreated participants with type 2 diabetes Canda, USA Not stated
C: placebo
Feinglos 1998 I: glipizide 3 months Participants with type 2 diabetes taking insulin USA Secondary care inpatients and outpatients  
C: placebo  
all:   15 (3 ‐ 30)
Fonseca 2007 I: vildagliptin 24 weeks Participants with type 2 diabetes inadequately controlled by insulin Finland, Germany, Spain, USA Unclear Black: 15
 White: 70
 Hispanic + Latino: 12
 Other: 3 14.4 (8.6)
C: placebo Black: 11
 White: 72
 Hispanic + Latino: 15
 Other: 2 14.9 (8.4)
Fritsche 2000 I: metformin 10 weeks Severely obese participants with type 2 diabetes on intensified insulin therapy Germany Secondary care inpatients and outpatients  
C: placebo  
all: 10 (8)
Giugliano 1993 I: metformin 6 months Obese type 2 diabetes on insulin therapy Italy Secondary care outpatients 11.9 (1.2)
C: placebo 11.5 (1.2)
Groop 1985 I: glibenclamide 8 weeks Poorly controlled participants with type 2 diabetes on insulin Finland Secondary care outpatients  
C: placebo  
all:   8 (1)
Hermann 2001 I: metformin 12 months Overweight and obese type 2 diabetes participants on insulin therapy Sweden Secondary care outpatients 13 (3 ‐ 31)
C: placebo 13 (4 ‐ 25)
Hirsch 1999 I: metformin 5 months Participants with type 2 diabetes and sub optimal insulin therapy USA Secondary care outpatients
C: placebo
Hong 2012 I: Sitagliptin 24 weeks Participants with uncontrolled type 2 diabetes on insulin therapy Korea Secondary care outpatients 15.9 (10.5)
C: insulin increase 15.8 (9.9)
Kitabchi 1987 I: tolazamide 3 months Obese insulin‐requiring participants with type 2 diabetes USA Secondary care inpatients and outpatients  
C: insulin alone  
all:   10 (1)
Krawczyk 2005 I: metformin 6 months Obese insulin‐requiring participants with type 2 diabetes Poland Secondary care outpatients 12.2 (4.8)
C: insulin alone 11.9 (5.9)
Kyllastinen 1985 I: glibenclamide 2 months Elderly participants with type 2 diabetes on insulin therapy Finland Secondary care outpatients  
C: placebo  
all:   11 (1)
Lewitt 1989 I: glibenclamide 3 months Insulin‐treated type 2 diabetes participants Australia Secondary care outpatients
C: placebo  
Lindström 1999 I: glibenclamide 3 months Type 2 diabetes participants on insulin monotherapy Sweden Unclear  
C: placebo  
all:   10.5 (1.2)
Longnecker 1986 I: tolazamide 8 weeks Type 2 diabetes participants on insulin monotherapy USA Secondary care outpatients  
C: placebo  
all:   12 (2)
Mattoo 2005 I: pioglitazone 6 months Type 2 diabetes participants on insulin monotherapy Australia, Belgium, Canada, New Zealand, Romania, Spain Secondary care outpatients White: 97 13.6 (6.8)
C: placebo White: 97 13.4 (6.1)
Mauerhoff 1986 I: glibenclamide 16 weeks Type 2 diabetes participants on insulin monotherapy Belgium Secondary care outpatients 11 (2)
C: placebo 10 (2)
Mezitis 1992 I: glibenclamide 20 weeks Type 2 diabetes participants on insulin monotherapy USA Secondary care outpatients
C: placebo  
Mudaliar 2010 I: pioglitazone 12 to 16 weeks Type 2 diabetes participants on insulin monotherapy USA Clinical research centre
C: placebo  
Nemoto 2011 I: miglitol 24 weeks Type 2 diabetes participants on insulin monotherapy Japan Secondary care outpatients  
C: placebo  
all:   15.1 (8.5)
Osei 1984 I: glibenclamide 16 weeks Type 2 diabetes participants on insulin monotherapy USA Secondary care inpatients and outpatients 12.3 (1.2)
C: placebo 12.9 (1.6)
Quartraro 1986 I: gliclazide 12 months Type 2 diabetes participants on insulin monotherapy Italy Secondary care inpatients and outpatients 12.1 (1.4 SE)
C: insulin alone 11.8 (1.3 SE)
Reich 1987 I: glibenclamide 4 months Type 2 diabetes participants on insulin monotherapy USA Secondary care inpatients and outpatients 9.0 (3.1)
C: placebo 9.7 (3.3)
Relimpio 1998 I: metformin 4 months Type 2 diabetes participants on insulin monotherapy Spain Secondary care outpatients 15.4 (7.7)
C: insulin dose increase 15.3 (6.0)
Robinson 1998 I: metformin 12 weeks Type 2 diabetes participants on insulin monotherapy UK Secondary care outpatients Study 1: 15 (7)
Study 2: 14 (6)
C: placebo  
Rosenstock 2002 I1: pioglitazone 15 mg 16 weeks Type 2 diabetes participants on insulin ± oral antidiabetic medication. Those participants on insulin + oral antidiabetic medication discontinued the oral drug at the beginning of the screening period. In addition the run‐in period for those participants was 6 weeks instead of 3 for the participants on insulin monotherapy. USA Unclear White: 75
I2: pioglitazone 30 mg White: 73
C1: placebo White: 71
Schade 1987 I: glibenclamide 16 weeks Type 2 diabetes participants on insulin monotherapy USA Secondary care outpatients
C: placebo
all:   10 (1)
Schiel 2007 I1: glimepiride 16 weeks Type 2 diabetes participants on insulin monotherapy Germany Secondary care outpatients 15.3 (8.4)
I2: glimepiride + metformin 14.2 (8.0)
C1: insulin alone 16.3 (6.7)
Simpson 1990 I: glipizide 8 weeks Type 2 diabetes participants on insulin monotherapy UK Secondary care outpatients 9 (2 ‐ 18)
C: placebo 10 (1 ‐ 20)
Stenman 1988 I: glibenclamide 4 months Type 2 diabetes participants on insulin monotherapy Finland Secondary care inpatients and outpatients
C: placebo
all:   9.8 (4.7)
Strowig 2002 I1: metformin 4 months Type 2 diabetes participants on insulin monotherapy USA Unclear White: 52 Afro‐American: 15 Hispanic: 30
Other: 4
7.6 (4.1)
I2: troglitazone White: 57 Afro‐American: 17 Hispanic: 27 11.6 (6.8)
C1: insulin alone White: 55 Afro‐American: 29 Hispanic: 16 10.5 (7.3)
Wulffelé 2002 I: metformin 16 weeks Type 2 diabetes participants on insulin monotherapy The Netherlands Secondary care outpatients 14.0 (8.4)
C1: placebo 12.0 (8.0)
Yilmaz 2007 I1: acarbose 6 months Type 2 diabetes participants on insulin monotherapy Turkey Secondary care outpatients 13.9 (7.2)
I2: metformin 12.1 (7.7)
I3: rosiglitazone 12.1 (7.9)
C1: insulin alone  
‐ denotes not reported
C: comparator; I: intervention; SD: standard deviation; SE: standard error