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

Fulcher 2005.

Methods DURATION OF INTERVENTION: 
 30 weeks. 
 DURATION OF FOLLOW‐UP: 
 N/A 
 RUN‐IN PERIOD: 
 2 weeks. 
 LANGUAGE OF PUBLICATION: 
 English.
Participants WHO PARTCIPATED: 
 Type 1 diabetic adult patients. 
 INCLUSION CRITERIA: 
 Patients with type 1 diabetes, aged 18‐80 years, who were treated with insulin for at least 1 year and who had inadequate glycaemic control (HbA1c ?8%) 
 EXCLUSION CRITERIA: 
 Nightshift workers, patients with known sensitivity 
 to the study drug or related drugs, and patients 
 with impaired hepatic function or any other clinically 
 relevant physiological or psychological medical conditions 
 were excluded. 
 DIAGNOSTIC CRITERIA: 
 Not defined
Interventions NUMBER OF STUDY CENTRES: 
 9 
 SETTING: 
 Out‐patient. 
 INTERVENTION (ROUTE, TOTAL DOSE/DAY, FREQUENCY): 
 Glargine (QD) + lispro. 
 CONTROL (ROUTE, TOTAL DOSE/DAY, FREQUENCY): 
 NPH (QD)+lispro 
 TREATMENT BEFORE STUDY: 
 ? 
 TITRATION PERIOD: 
 6 weeks.
Outcomes PRIMARY OUTCOME(S): 
 Glycosylated haemoglobin. 
 SECONDARY OUTCOMES: 
 Mean and variability of FBG, response rates for FBG and HbA1c, the incidence and rate of hypoglycaemia, weight change and lipid profiles.
Notes STATED AIM OF STUDY: 
 To compare the effects of glargine and NPH, when administered once daily at bedtime in a 
 'treat‐to‐target', basal‐bolus regimen with lispro (administered three‐times daily before meals), on metabolic control in patients with suboptimally controlled type 1 diabetes (HbA1c ?8%).
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear