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. 2016 Sep 18;2016(9):CD006992. doi: 10.1002/14651858.CD006992.pub2
  Intervention(s) and comparator(s) Sex
 (female %) Age
 (mean years (SD); (range)) HbA1c
 (mean % (SD); (range)) Comedications/Cointerventions
 (%) Comorbidities
 (%)
Avilés 1999 I: metformin 71 53.1 (9.4); (35‐69) 9 (1.4); ‐
C: placebo 55 54.6 (7.8); (36‐70) 9.1 (1.5); ‐
Barnett 2013 I: saxagliptin 60 58.7 (10.0); (29‐77) 8.7 (0.9); (7‐11)
C: placebo 59 57.8 (10.9); (30‐75) 8.7 (0.8); (7‐11)
Casner 1988 I: glibenclamide 65 55.8 (0.1); ‐ 10.9 (0.5 SE); ‐
C: placebo 79 60.0 (0.1); ‐ 11.4 (0.4 SE); ‐
Chiasson 1994 I: acarbose
C: placebo
all: 39 56.6 (0.9); ‐ 7.7 (0.2 SE); ‐
Coniff 1995 I: acarbose 6.4 (0.1 SE); ‐
C: placebo 6.6 (0.1 SE); ‐
Feinglos 1998 I: glipizide
C: placebo
all: 59 56 (39 ‐ 68); (39‐68) 12.1 (5.4‐21.2);
Fonseca 2007 I: vildagliptin 52 59.6 (10.3); ‐ 8.4 (1.0); ‐
C: placebo 45 58.9 (10.8); ‐ 8.4 (1.1); ‐
Fritsche 2000 I: metformin     8.5 (0.4 SE); ‐
C: placebo     8.1 (0.4 SE); ‐
all: 69 51 (9); ‐  
Giugliano 1993 I: metformin     11.5 (1.2); ‐ Antihypertensive drugs (ACE‐inhibitor or calcium antagonist): 5
C: placebo     11.7 (1.3); ‐ Antihypertensive drugs (ACE‐inhibitor or calcium antagonist): 4
all: 62 60 (2); ‐    
Groop 1985 I: glibenclamide     Antihypertensive drugs (n = 4) Background retinopathy and signs of sensory neuropathy (n = 5)
C: placebo          
all: 46 56 (1); (49‐61)   31 38
Hermann 2001 I: metformin 56 56.9 (10.2); ‐ 9.1 (1.3); ‐ Hypertension (n = 10) 27
 Ischaemic heart disease (n = 7) 19
 diabetic nephropathy (n = 1) 3
C: placebo 37 58.1 (9.7); ‐ 8.7 (1.0); ‐  
Hirsch 1999 I: metformin 8.6 (0.2 SE); ‐
C: placebo 9.0 (0.4 SE); ‐
Hong 2012 I: sitagliptin 53.7 58.8 (14.3); ‐ 9.2 (1.0); ‐ Sulphonylurea: 24.6
 Glinides (short‐acting insulin secretagogues): 13.1
 Metformin: 45.9
 Thiazolidinedione: 6.6
 Alpha‐glucosidase inhibitor: 31.1
 Glargine only: 47.5
 Glargine plus rapid acting insulin: 23
 NPH plus regular insulin: 29.5 Retinopathy: 16.4
 Neuropathy: 21.3
C: insulin increase 50.9 59.6 (13.0); ‐ 9.2 (1.1); ‐ Sulphonylurea: 23.8
 Glinides (short acting insulin secretagogues): 15.9
 Metformin: 41.3
 Thiazolidinedione: 3.2
 Alpha‐glucosidase inhibitor: 42.9
 Glargine only: 49.2
 Glargine plus rapid‐acting insulin: 17.5
 NPH plus regular insulin: 33.3 Retinopathy: 14.3
 Neuropathy: 23.8
Kitabchi 1987 I: tolazamide
C: insulin alone
all: 100 51 (3); (34‐66) 10.7 (0.7 SE); (8.7‐15.5)
Krawczyk 2005 I: metformin 60 55.8 (8.1); ‐ 8.6 (1.9); ‐
C: insulin alone 40 58.4 (6.0); ‐ 8.4 (1.6); ‐
Kyllastinen 1985 I: glibenclamide     13.8 (0.6 SE); ‐ Dose kept constant throughout trial Heart failure: 89
 Hypertension: 44
 Hypothyroidism: 11
 Psychiatric illness: 11
 Chronic obstipation: 33
 Retinopathy: 22
 Elevated creatinine: 33
C: placebo     13.5 (0.8 SE); ‐
all: 78 73 (2); (66‐80)      
Lewitt 1989 I: glibenclamide      
C: placebo      
all: 15 67 (5); (59‐78) 9.9 (1.3); (7.3‐13.3)    
Lindström 1999 I: glibenclamide    
C: placebo    
all: 33 59 (2); (48‐71)    
Longnecker 1986 I: tolazamide 92 62 (2.4); (48‐76)  
C: placebo 100 54 (2.9); (43‐65)  
all:     12.7 (0.8); (9‐16.3)  
Mattoo 2005 I: pioglitazone 56 58.8 (7.4); ‐ 8.9 (0.1 SE); ‐
C: placebo 57 58.9 (6.9); ‐ 8.8 (0.1 SE); ‐
Mauerhoff 1986 I: glibenclamide 63 62 (2); ‐ ‐; ‐
C: placebo 27 59 (4); ‐ ‐; ‐
Mezitis 1992 I: glibenclamide ‐; 46‐68 8.7; (4.4‐8.2)
C: placebo ‐; 46‐68 8.6; (4.4‐8.2)
Mudaliar 2010 I: pioglitazone     7.6 (0.3); ‐
C: placebo     7.8 (0.3); ‐
all: 19 58 (2); ‐ ‐; 7.5‐10
Nemoto 2011 I: miglitol      
C: placebo      
all: 42 59.9 (10.7); ‐ 7.9 (1); ‐
Osei 1984 I: glibenclamide 60 58.6 (2.7); ‐ 10.9 (0.6 SE); ‐
C: placebo 83 56.3 (1.2); ‐ 10.4 (0.4 SE); ‐
Quartraro 1986 I: gliclazide 56 (1.9 SE); (39‐70) 12.0 (0.6)
C: insulin alone   57 (1.9 SE); (39‐70) 11.8 (0.4)
Reich 1987 I: glibenclamide 0 58.7 (2.8); (39‐69) 8.9 (0.7 SE); (7.2‐13.4)
C: placebo 0 56.8 (3.7); (29‐69) 10.0 (1.0 SE); (6.7‐12.8)
Relimpio 1998 I: metformin 79 65.4 (7.9); ‐ 9.6 (1.4); ‐ ACE inhibitors: 42
 Thiazides: 8
 Fibric acid: 8
 HMG‐CoA inhibitors: 4
C: insulin dose increase 65 66.7 (6.2); ‐ 9.6 (1.2); ‐ ACE inhibitors: 30
 Thiazides: 17
 Fibric acid: 17
 HMG‐CoA inhibitors: 22
Robinson 1998 I: metformin Study 1: 63 Study 1: 61.3 (7.1); ‐ Study 1: 8.9 (1.0 SE); ‐ Trial 1:
 Retinopathy (n = 9) 47
 Neuropathy (n = 6) 32
 Proteinuria (n = 1)
C: placebo      
Rosenstock 2002 I1: pioglitazone 15 mg 54 56.9 (10.4); (29‐75) 9.8 (0.1 SE); ‐ Oral anti‐diabetic medication before study: total 12
 evenly distributed among the treatment arms (metformin: 8,
glibenclamide: 2, glipizide: 2)
Lipid‐lowering drugs: 28
I2: pioglitazone 30 mg 50 57.5 (9.9); (29‐75) 9.8 (0.1 SE); ‐ Lipid‐lowering drugs: 22
C1: placebo 55 56.8 (3.7); (29‐75) 9.8 (0.1 SE); ‐ Lipid‐lowering drugs: 21
Schade 1987 I: glibenclamide      
C: placebo      
all: 56 51 (3); (35‐66) 10.6 (0.4); ‐
Schiel 2007 I1: glimepiride 53 61.7 (10.7); ‐ 8.2 (0.7); ‐
I2: glimepiride + metformin 44 65.4 (8.5); ‐ 8.1 (0.9); ‐
C1: insulin alone 47 69.8 (6.4); ‐ 8.1 (0.8); ‐
Simpson 1990 I: glipizide   65 (‐); (53 ‐ 75) 10.6 (‐); (10‐16.4)
C: placebo   62 (‐); (50 ‐ 78) 12.0 (‐); (7.6‐4.9)
all: 32    
Stenman 1988 I: glibenclamide      
C: placebo      
all: 13 58 (6.6); (45‐68) 9.2 (0.2); (9.9‐15.8) Coronary heart disease (n = 1) 7
 Hypertension (n = 3) 20
Strowig 2002 I1: metformin 44 51.8 (10.5); ‐ 8.8 (1.2); ‐ Lipid‐lowering drugs: 30
I2: troglitazone 57 51.7 (8.0); ‐ 8.5 (1.2); ‐ Lipid‐lowering drugs: 43
C1: insulin alone 52 54.4 (9.1); ‐ 8.7 (1.6); ‐ Lipid‐lowering drugs: 26
Wulffelé 2002 I: metformin 56 63.2 (9.8); ‐ 7.9 (1.2); ‐
C: placebo 50 58.9 (11.1); ‐ 7.9 (1.2); ‐
Yilmaz 2007 I1: acarbose 53 62.6 (6.6); (34‐80)
I2: metformin 66 57.7 (8.5); (34‐80)
I3: rosiglitazone 88 57.6 (8.8); (34‐80)
C1: insulin alone 63 61.5 (12.0); (34‐80)
‐ denotes not reported
C: comparator; HbA1c: glycosylated haemoglobin A1c; I: intervention; NPH: Neutral Protamine Hagedorn; SD: standard deviation; SE: standard error