Items | (1) Resolution of symptoms | (2) Time to resolution of symptoms | (3) Blood or plasma glucose concentration at 20 minutes | (4) Resolution of hypoglycaemia | (5) Time to resolution of hypoglycaemia | (6) Adverse events | (7)Treatment delay | |
Indirectness | Were the populations in included studies applicable to the decision context? | NA | NA | Poorly applicable (↓) | NA | NA | NA | NA |
Were the interventions in the included studies applicable to the decision context? | Applicable | |||||||
Was the included outcome not a surrogate outcome? | Yes | |||||||
Was the outcome timeframe sufficient? | Sufficient | |||||||
Were the conclusions based on direct comparisons? | Yes | |||||||
Imprecisiona | What is the magnitude of the median sample size (high: 300 participants, intermediate: 100‐300 participants, low: < 100 participants)?e | Low (↓) | ||||||
What was the magnitude of the number of included studies (large: > 10 studies, moderate: 5‐10 studies, small: < 5 studies)?e | Small (↓) | |||||||
Was the outcome a common event (e.g. occurs more than 1/100)? | Yes | |||||||
Publication biasb | Was a comprehensive search conducted? | Yes | ||||||
Was grey literature searched? | Yes | |||||||
Were no restrictions applied to study selection on the basis of language? | Yes | |||||||
There was no industry influence on studies included in the review? | Yes | |||||||
aWhen judging the width of the confidence interval it is recommended to use a clinical decision threshold to assess whether the imprecision is clinically meaningful.
bQuestions address comprehensiveness of the search strategy, industry influence, funnel plot asymmetry and discrepancies between published and unpublished trials. (↓): key item for potential downgrading the certainty of the evidence (GRADE) as shown in the footnotes of the 'Summary of finding' table(s); NA: not applicable |