Insulin degludec as good as insulin detemir for blood sugar control in pregnant women with type 1 diabetes
Denmark: Insulin degludec (degludec) is non-inferior to insulin detemir (detemir) regarding safety and blood sugar control in pregnant women with type 1 diabetes, a recent study published in The Lancet Diabetes & Endocrinology has found.
Insulin degludec is a second-generation basal insulin with an improved pharmacokinetic–pharmacodynamic profile versus the first-generation basal insulins. Still, there is not much data regarding its use during pregnancy. Prof Elisabeth R Mathiesen from the University of Copenhagen, Copenhagen, Denmark, and colleagues, therefore, aimed to compare the safety and efficacy of detemir with degludec, both in combination with insulin aspart (aspart), in pregnant women with type 1 diabetes.
EXPECT, a multinational, open-label, controlled, randomized, non-inferiority trial, was conducted at 56 sites (medical centers and hospitals) in 14 countries. It included women aged at least 18 years with type 1 diabetes with a gestational age of eight weeks (+0 days) and 13 weeks (+6 days) or planned to become pregnant. They were randomly assigned in the ratio of 1:1 to once daily degludec (100 U/mL) or once or twice daily detemir (100 U/mL), both with mealtime insulin aspart (100 U/mL), all via subcutaneous injection.
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