Efficacy and hypoglycaemia outcomes with once‐weekly insulin icodec versus once‐daily basal insulin in type 2 diabetes according to baseline glucagon‐like peptide‐1 receptor agonist and sodium‐glucose co‐transporter‐2 inhibitor use: A post hoc analysis of ONWARDS 1–5

🥉 Top 5% JournalMar 18, 2025Diabetes, obesity & metabolism

Blood sugar control and low blood sugar risk with once-weekly insulin icodec versus daily basal insulin in type 2 diabetes, considering use of common diabetes pills

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Abstract

21.3% of participants in ONWARDS 1-5 were treated with a GLP-1 receptor agonist.

  • 36.9% of participants were treated with a sodium-glucose co-transporter-2 inhibitor.
  • Baseline characteristics were similar across treatment groups, regardless of GLP-1RA or SGLT2i use.
  • No statistically significant treatment interactions were observed for changes in glycated hemoglobin or body weight based on GLP-1RA or SGLT2i use.
  • Weekly basal insulin doses did not show significant differences related to GLP-1RA or SGLT2i use, except in one trial.
  • Rates of clinically significant or severe were generally low, averaging less than one episode per patient-year of exposure.

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Key numbers

801 of 3765
Participants treated with GLP-1RAs
Percentage of participants in ONWARDS 1-5 treated with GLP-1RAs at screening.
1388 of 3765
Participants treated with SGLT2is
Percentage of participants in ONWARDS 1-5 treated with SGLT2is at screening.
<1 episode/PYE
rate
Rate of clinically significant or severe across ONWARDS 1, 2, 3, and 5.

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