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. |