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Comparing effects of insulin analogues and human insulin on nocturnal glycaemia in hypoglycaemia-prone people with Type 1 diabetes

Plain-language guide to PMID 28099755 (2017): crossover randomized controlled trial of Insulin Aspart and NPH Insulin (isophane) in 72 people.

Key Facts

PMID
28099755
Journal
Diabetic medicine : a journal of the British Diabetic Association
Year
2017
Study type
Randomized Controlled Trial
Authors
Kristensen PL et al. (11 authors)
DOI
10.1111/dme.13317

What This Study Did, in Plain Language

What Was Tested

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

To assess the difference between analogue and human insulin with regard to nocturnal glucose profiles and risk of hypoglycaemia in people with recurrent severe hypoglycaemia.

Who Took Part

According to the abstract, 72 people were involved.

By PubMed's age tags, the people studied were young adults, adults, middle-aged adults and older adults, both men and women.

How the Study Was Run

The researchers set it up as a randomized and crossover study.

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

In the crossover set-up each of the people took both Insulin Aspart and the comparison in turn, acting as their own control.

Venous blood was drawn hourly during sleep.

What Was Measured

The subject headings attached to it are Blood Glucose, Circadian Rhythm, Diabetes Mellitus, Type 1, Hypoglycemia, Insulin, Insulin Aspart and Insulin, Isophane.

What This Means in Plain Language

The paper is a randomized and crossover study of Insulin Aspart and NPH Insulin (isophane) in 72 people.

The abstract goes on to report its results in about 5 sentences; this page does not restate them, so read the paper for the findings and their limits.

The publication is from 2017 (Diabetic medicine : a journal of the British Diabetic Association), a journal based in England.

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

Our Notes on the Compounds

Insulin Aspart: A rapid-acting mealtime insulin analog; brands include NovoLog, NovoRapid and Fiasp.

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.