Type 2 Diabetes Mellitus Clinical Trial
Official title:
Comparison of Basal-bolus and Premixed Insulin Regimens in Hospitalized Patients With Type 2 Diabetes (PININ Study)
Pilot study to compare the efficacy and safety of a premixed-insulin regimen (70% intermediate insulin and 30% regular insulin) to a basal-bolus insulin regimen (glargine once daily and glulisine before meals) hospitalized patients with type 2 diabetes.
Pilot, randomized, prospective, open-label study admitted to the Hospital with a previous
diagnosis of type 2 diabetes or with a blood glucose level on admission greater than 180
mg/dl.
Patients were randomized to receive a premixed human insulin formulation with 70%
intermediate insulin plus 30% regular insulin (Mixtard 30®, Novo Nordisk) or a basal-bolus
regimen with glargine once daily and glulisine before meals (Lantus® and Apidra®,
Sanofi-Aventis).
The primary outcome of the study was to determine differences in glycemic control between
treatment groups as measured by mean daily blood glucose concentration during the hospital
stay. Secondary objectives were to determine differences in the percentage of glucose
measures between 80 and 180 mg/dl, frequency and severity of hypoglycemic events, total
daily insulin use, length of hospital stay and glycemic viability between groups.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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