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Comparison of three multiple injection regimens for Type 1 diabetes: morning plus dinner or bedtime administration of insulin detemir vs. morning plus bedtime NPH insulin

Plain-language guide to PMID 15975098 (2005): parallel-group randomized controlled trial study of Insulin Detemir and NPH Insulin (isophane) in 400 people.

Key Facts

PMID
15975098
Journal
Diabetic medicine : a journal of the British Diabetic Association
Year
2005
Study type
Randomized Controlled Trial
Authors
Pieber TR et al. (4 authors)
DOI
10.1111/j.1464-5491.2005.01545.x

What This Study Did, in Plain Language

What Was Tested

The paper reports a study of Insulin Detemir and NPH Insulin (isophane), published as a randomized controlled trial.

Who Took Part

The study group was 400 people.

PubMed indexes the participants as teenagers and adults, both men and women.

How the Study Was Run

In design terms this was a randomized and parallel-group study.

Random assignment meant chance, not the researchers, decided who got Insulin Detemir and who got the comparison, which limits bias.

The Insulin Detemir group and the comparison group ran side by side rather than switching.

This multinational, 16-week, open, parallel group trial included 400 people with Type 1 diabetes mellitus (DM) randomized to IDet either morning and before dinner (IDetmorn+din) or morning and bedtime (IDetmorn+bed), or to NPH morning and bedtime (NPHmorn+bed), all in combination with mealtime insulin aspart (IAsp).

What Was Measured

Topics PubMed links to this paper include Blood Glucose, Diabetes Mellitus, Type 1, Glycated Hemoglobin, Hypoglycemia, Hypoglycemic Agents, Insulin and Insulin Detemir.

What This Means in Plain Language

The paper is a randomized and parallel-group study of Insulin Detemir and NPH Insulin (isophane) in 400 people.

With several hundred people or more, it is a fairly large study for this kind of research.

Results are reported in around 8 sentences of the abstract; we leave them to the paper itself rather than summarise them.

The publication is from 2005 (Diabetic medicine : a journal of the British Diabetic Association), a journal based in England.

More context: the Insulin Detemir compound page and the NPH Insulin (isophane) compound page, all human trials.

Our Notes on the Compounds

Insulin Detemir: A long-acting basal insulin analog sold as Levemir.

NPH Insulin (isophane): An intermediate-acting insulin made by combining insulin with protamine; also called isophane or NPH insulin (Humulin N, Novolin N).

Related Pages

Source: PubMed record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.