Cochrane · systematic review · CD006383

Insulin detemir versus insulin glargine for type 2 diabetes mellitus

Swinnen, SG, Simon, ACR, Holleman, F, et al. · Cochrane Database of Systematic Reviews · 2011 · Cochrane Library

Metabolic and Endocrine DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 57.1%Moderate 0 · 0%High 1 · 14.3%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Insulin detemir (intervention) vs. Insulin glargin (control) for type 2 diabetes mellitus

Population: patients with type 2 diabetes mellitus
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality ‐ not reported
Insulin detemir (intervention) vs Insulin glargin (control)
no estimate extractedNRNo studies
Quality of life and treatment satisfaction ‐ not reported
Insulin detemir (intervention) vs Insulin glargin (control)
no estimate extractedNRNo studies
Change in HbA1c
Insulin detemir (intervention) vs Insulin glargin (control)
no estimate extracted4 studies · 2250 participantsLow
Downgraded: indirectness
Percentage of participants having at least one severe hypoglycaemic event
Insulin detemir (intervention) vs Insulin glargin (control)
RR 0.82 [0.51, 1.32]4 studies · 2252 participantsLow
Downgraded: risk of bias, imprecision
Percentage of participants having at least one hypoglycaemic event
Insulin detemir (intervention) vs Insulin glargin (control)
RR 0.98 [0.92, 1.05]4 studies · 2252 participantsLow
Downgraded: risk of bias
Weight gain
Insulin detemir (intervention) vs Insulin glargin (control)
no estimate extracted4 studies · 2250 participantsHigh
Percentage of participants having at least one injection site reaction
Insulin detemir (intervention) vs Insulin glargin (control)
RR 3.31 [1.13, 9.73]4 studies · 2252 participantsLow
Downgraded: risk of bias