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Systematic Review: Comparative Effectiveness and Safety of Premixed Insulin Analogues in Type 2 Diabetes

机译:系统评价:2型糖尿病中预混胰岛素类似物的比较有效性和安全性

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摘要

Premixed insulin analogues are a mixture of short-acting and intermediate-acting insulin analogues. Their effectiveness relative to other antidiabetic agents is not clearly established. This systematic review of comparative trials in adults with type 2 diabetes found that premixed insulin analogues and premixed human insulin provided similar glycemic control. Premixed insulin analogues provided tighter glycemic control and caused more hypoglycemia than did long-acting insulin analogues and noninsulin antidiabetic agents. Evidence for effects on clinical outcomes of diabetes, however, was scant and inconclusive.
机译:预混合的胰岛素类似物是短效和中效胰岛素类似物的混合物。相对于其他抗糖尿病药的有效性尚不清楚。这项对2型糖尿病成人进行的比较试验的系统综述发现,预混胰岛素类似物和预混人胰岛素可提供相似的血糖控制。与长效胰岛素类似物和非胰岛素抗糖尿病药相比,预混胰岛素类似物可提供更严格的血糖控制,并引起更多的低血糖症。然而,对糖尿病临床预后影响的证据很少且没有定论。

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