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

Vague 2003.

Methods DURATION OF INTERVENTION: 
 26 weeks. 
 DURATION OF FOLLOW‐UP: 
 N/A 
 RUN‐IN PERIOD: 
 3 weeks. 
 LANGUAGE OF PUBLICATION: 
 English.
Participants WHO PARTCIPATED: 
 Type 1 diabetic adult patients. 
 INCLUSION CRITERIA: 
 Patients with a history of type 1 diabetes for at least 1 year who had received basal (once or multiple times daily) bolus insulin treatment for at least 2 months were included in the trial. Only patients with an HbA1c level <=12%, a BMI <=35 kg/m2, and a total basal insulin dosage of <=100 IU/day were included. 
 EXCLUSION CRITERIA: 
 patients with proliferative retinopathy, impaired hepatic or renal function, severe cardiac problems, uncontrolled hypertension, recurrent major hypoglycemia, or allergy to insulin. Pregnant or breast‐feeding women were also excluded. DIAGNOSTIC CRITERIA: 
 Not defined
Interventions NUMBER OF STUDY CENTRES: 
 46. 
 SETTING: 
 Out‐patient + inpatient. 
 INTERVENTION (ROUTE, TOTAL DOSE/DAY, FREQUENCY): 
 Detemir (BID) + Aspart. 
 CONTROL (ROUTE, TOTAL DOSE/DAY, FREQUENCY): 
 NPH (BID) + Aspart. 
 TREATMENT BEFORE STUDY: 
 ? 
 TITRATION PERIOD: 
 1 month.
Outcomes PRIMARY OUTCOME(S): 
 Glycosylated haemoglobin. 
 SECONDARY OUTCOMES: 
 Within subject SMBG flactuations, nightly glucose profile, weight, hypoglycaemia.
Notes STATED AIM OF STUDY: 
 To evaluate the metabolic control, risk of hypoglycemia, and other potential effects of treatment with insulin detemir in patients with type 1 diabetes on such a basal‐bolus regimen.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate