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. 2008 Jul 16;2008(3):CD006297. doi: 10.1002/14651858.CD006297.pub2

Ashwell 2006.

Methods DURATION OF INTERVENTION: 
 16 weeks. 
 DURATION OF FOLLOW‐UP: 
 N/A 
 RUN‐IN PERIOD: 
 4 weeks. 
 LANGUAGE OF PUBLICATION: 
 English.
Participants WHO PARTCIPATED: 
 Type 1 diabetic adult patients. 
 INCLUSION CRITERIA: 
 The people recruited were men and women aged 18‐65 years with Type 1 diabetes and no previous experience of insulin glargine, who had been using a multiple insulin injection regimen for at least 1 year and who had a random C‐peptide ? 0.10 nmol/L and HbA1c 7.0‐9.5%. Women of childbearing potential were required to be using adequate contraception. 
 EXCLUSION CRITERIA: 
 People with proliferative retinopathy, recurrent severe hypoglycaemia, impaired hepatic or renal function, or who worked night shifts were excluded from the trial 
 DIAGNOSTIC CRITERIA: 
 Not defined
Interventions NUMBER OF STUDY CENTRES: 
 5 
 SETTING: 
 Out‐patient+inpatient 
 INTERVENTION (ROUTE, TOTAL DOSE/DAY, FREQUENCY): 
 Glargine (QD) + Lispro 
 CONTROL (ROUTE, TOTAL DOSE/DAY, FREQUENCY): 
 NPH (QD/BID)+HI 
 TREATMENT BEFORE STUDY: 
 ? 
 TITRATION PERIOD: 
 4 weeks
Outcomes PRIMARY OUTCOME(S): 
 Glycosylated haemoglobin 
 SECONDARY OUTCOMES: 
 insulin doses, pre‐breakfast SMBG concentration, 24‐h eightpoint SMBG levels, 24‐h inpatient plasma glucose levels, and monthly rate of hypoglycaemia
Notes STATED AIM OF STUDY: 
 The aim of the present study was to compare blood glucose control in people with Type 1 diabetes managed with a multiple insulin injection regimen and strict glycaemic targets using insulin glargine plus insulin lispro in combination, and NPH insulin plus unmodified human insulin.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate