Sustained efficacy of insulin pump therapy compared with multiple daily injections in type 2 diabetes: 12‐month data from the OpT2mise randomized trial

Feb 9, 2016Diabetes, obesity & metabolism

Long-term benefits of insulin pump therapy versus multiple daily injections in type 2 diabetes over 12 months

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Abstract

At the end of a 6-month randomized phase, pump therapy led to a significantly greater reduction in HbA1c compared to multiple daily injections (MDI).

  • The mean HbA1c reduction with pump therapy was -1.1 ± 1.2%, compared to -0.4 ± 1.1% for MDI.
  • After switching from MDI to pump therapy, the HbA1c reduction in the MDI-pump group was 0.8%, resulting in identical final HbA1c levels in both groups.
  • Total daily insulin dose was 20.4% lower with pump therapy during the randomized phase and remained stable in the continuation phase.
  • By 12 months, total daily insulin doses were equivalent in both groups.
  • No differences in weight gain or ketoacidosis were observed between the two treatment groups.

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Key numbers

-1.1 ± 1.2%
HbA1c Reduction
Comparison of HbA1c change at 6 months between pump therapy and MDI.
20.4%
Total Daily Insulin Dose Reduction
Difference in total daily insulin dose during the randomization phase.
7.8%
Final HbA1c Level
Final HbA1c level at 12 months for both pump and MDI groups.

Full Text

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