The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Continuous Subcutaneous Insulin Infusion (CSII) of Insulin Aspart Versus Multiple Daily Injection of Insulin Aspart/Insulin Glargine in Type 1 Diabetic Patients Previously Treated With CSII
Abstract
OBJECTIVE—Multiple daily injection (MDI) therapy of bolus insulin aspart and basal insulin glargine was compared with continuous subcutaneous insulin infusion (CSII) with aspart in type 1 diabetic patients previously treated with CSII. RESEARCH DESIGN AND METHODS—One hundred patients were enrolled in a randomized, multicenter, open-label, crossover study. After a 1-week run-in period with aspart by CSII, 50 subjects were randomly assigned to MDI therapy (aspart immediately before each meal and glargine at bedtime) and 50 subjects continued CSII. After 5 weeks of the first treatment, subjects crossed over to the alternate treatment for 5 weeks. During the last week of each treatment period, subjects wore a continuous glucose monitoring system for 48–72 h. RESULTS—Mean serum fructosamine levels were significantly lower after CSII therapy than after MDI therapy (343 ± 47 vs. 355 ± 50 μmol/l, respectively; P = 0.0001). Continuous glucose monitoring profiles over a 24-h time period showed that glucose exposure was 24 and 40% lower for CSII than MDI as measured by area under the curve (AUC) glucose ≥80 mg/dl (1,270 ± 742 vs. 1,664 ± 1,039 mg · h · dl−1; P < 0.001) and AUC glucose ≥140 mg/dl (464 ± 452 vs. 777 ± 746 mg · h · dl−1, CSII vs. MDI, respectively; P < 0.001). Similar percentages of subjects reported hypoglycemic episodes (CSII: 92%, MDI: 94%) and nocturnal (12:00 a.m. to 8:00 a.m.) hypoglycemic episodes (CSII: 73%, MDI: 72%). Major hypoglycemia was infrequent (CSII: two episodes, MDI: five episodes). CONCLUSIONS—In a trial of short duration, CSII therapy with insulin aspart resulted in lower glycemic exposure without increased risk of hypoglycemia, as compared with MDI with insulin aspart and glargine.
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Metadata
- Authors
- Hirsch, I. B., Bode, B. W., Garg, S., Lane, W. S., Sussman, A., Hu, P., Santiago, O. M., Kolaczynski, J. W., & for the Insulin Aspart CSII/MDI Comparison Study Group
- Affiliations
- University of Washington (US)
- Atlanta Diabetes Associates (US)
- Barbara Davis Center for Childhood Diabetes, Denver, Colorado
- Mountain Diabetes and Endocrine Center (US)
- Rainier Clinical Research Center (US)
- Novo Nordisk Pharmaceuticals, Princeton, New Jersey
- University of Medicine and Dentistry of New Jersey (US)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2005-03-01
- Volume
- 28
- Issue
- 3
- Pages
- 533-538
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2105346472
- Cited by
- 197
- References
- 4
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 6 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 7 · 2016: 9 · 2015: 15 · 2014: 12 · 2013: 12 · 2012: 15
- FWCI
- 9.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Novo Nordisk
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- insulin pump therapy, insulin aspart, multiple daily insulin injections, insulin glargine, type 1 diabetes, glycemic exposure, hypoglycemia, serum fructosamine, continuous glucose monitoring, insulin therapy switching, glycemic control, nocturnal hypoglycemia, basal insulin, bolus insulin, glycemic variability
- MeSH terms
- Insulin Glargine, Adult, Blood Glucose, Diabetes Mellitus, Type 1, Drug Administration Schedule, Female, Glycated Hemoglobin, Humans, Insulin, Insulin Infusion Systems, Male, Biomarkers, Body Mass Index, Fructosamine, Insulin, Long-Acting, Insulin Aspart
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