Cochrane · systematic review · CD012161

Short‐acting insulin analogues versus regular human insulin for adults with type 1 diabetes mellitus

Fullerton, B, Siebenhofer, A, Jeitler, K, et al. · Cochrane Database of Systematic Reviews · 2016 · 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
2
No studies
5
Included studies
NR
No studies 5 · 71.4%Ungraded 0 · 0%Very low 1 · 14.3%Low 1 · 14.3%Moderate 0 · 0%High 0 · 0%

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

Short‐acting insulin analogues compared with regular human insulin for adults with type 1 diabetes mellitus

7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Short‐acting insulin analogues vs regular human insulin
no estimate extractedNRNo studies
Macrovascular complications
Short‐acting insulin analogues vs regular human insulin
no estimate extractedNRNo studies
Microvascular complications
Short‐acting insulin analogues vs regular human insulin
no estimate extractedNRNo studies
Severe hypoglycaemic episodes (heterogeneous definitions of severe hypoglycaemia)
Short‐acting insulin analogues vs regular human insulin
OR 0.89 [0.71, 1.12]7 studies · 2459 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Health‐related quality of life
Short‐acting insulin analogues vs regular human insulin
no estimate extractedNRNo studies
HbA1c at end of
Short‐acting insulin analogues vs regular human insulin
no estimate extracted9 studies · 2608 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Costs
Short‐acting insulin analogues vs regular human insulin
no estimate extractedNRNo studies