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. 2021 Mar 4;2021(3):CD013498. doi: 10.1002/14651858.CD013498.pub2
Outcome measure Detemir vs NPH Glargine vs NPH Detemir vs glargine Degludec vs detemir Degludec vs glargine
Severe hypoglycaemia RR 0.69, 95% CI 0.52 to 0.92a RR 0.84, 95% CI 0.67 to 1.04 RR 0.59, 95% CI 0.13 to 2.63 RR 1.17, 95% CI 0.81 to 1.69 RR 1.22, 95% CI 0.82 to 1.82
Hypoglycaemia reported as a serious adverse event RR 0.93, 95% CI 0.51 to 1.71 RR 0.94, 95% CI 0.64 to 1.39 RR 1.16, 95% CI 0.14 to 9.48 RR 0.92, 95% CI 0.37 to 2.32 RR 0.81, 95% CI 0.40 to 1.66
Severe nocturnal hypoglycaemia RR 0.67, 95% CI 0.39 to 1.17 RR 0.83, 95% CI 0.62 to 1.12 RR 0.55, 95% CI 0.06 to 5.12 RR 1.12, 95% CI 0.51 to 2.46 RR 1.39, 95% CI 0.59 to 3.27
Any nocturnal hypoglycaemia RR 0.91, 95% CI 0.87 to 0.95a RR 1.00, 95% CI 0.96 to 1.05 RR 1.01, 95% CI 0.93 to 1.09 No data RR 0.99, 95% CI 0.91 to 1.07
Confirmed nocturnal hypoglycaemia No data No data RR 1.01, 95% CI 0.92 to 1.10 RR 1.04, 95% CI 0.94 to 1.15 No data
Mild nocturnal hypoglycaemia RR 0.90, 95% CI 0.85 to 0.96a RR 0.84, 95% CI 0.66 to 1.07 No data RR 0.97, 95% CI 0.86 to 1.10 (documented) RR 0.98, 95% CI 0.90 to 1.07
Symptomatic nocturnal hypoglycaemia RR 0.88, 95% CI 0.79 to 0.98a RR 0.93, 95% CI 0.82 to 1.05 RR 1.02, 95% CI 0.81 to 1.29 RR 0.72, 95% CI 0.15 to 3.59 RR 1.22, 95% CI 0.72 to 2.07
Asymptomatic nocturnal hypoglycaemia No evidence of a difference Not reported No data RR 0.91, 95% CI 0.80 to 1.03 RR 0.84, 95% CI 0.71 to 1.00
Mild/moderate hypoglycaemia RR 0.97, 95% CI 0.94 to 0.99a RR 1.02, 95% CI 1.00 to 1.04 RR 1.04, 95% CI 0.94 to 1.14 RR 1.02, 95% CI 0.99 to 1.05 RR 1.02, 95% CI 0.99 to 1.04
HbA1c < 7.0%  without major/severe hypoglycaemia No data No data RR 1.11, 95% CI 0.81 to 1.51 RR 1.09, 95% CI 0.84 to 1.41 RR 0.92, 95% CI 0.78 to 1.10
aFavouring insulin detemir
CI: confidence interval; HbA1c: glycosylated haemoglobin A1c; NPH: neutral protamine Hagedorn; RR: risk ratio.