3-Month Results from Denmark within the Globally Prospective and Observational Study to Evaluate Insulin Detemir Treatment in Type 1 and Type 2 Diabetes: The PREDICTIVE Study
Kjeld HermansenDepartment of Endocrinology and Metabolism, Aarhus Sygehus THG, Aarhus University Hospital, Tage-Hansens Gade 2, 8000 Aarhus C, Denmark
Per LundNordsjællands Hospital, Helsingør, Esrumvej 145, 3000 Helsingør, Denmark
Kurt ClemmensenFrederikshavn Hospital, Barfredsvej 83, 9900 Frederikshavn, Denmark.
Leif BreumKoge Hospital, Lykkebækvej 1, 4600 Koge, Denmark.
Marianne Kleis MollerRegionshospitalet Horsens, Sundvej 30, 8700 Horsens, Denmark.
Anne Mette RosenfalckNovo Nordisk Scandinavia AB, Region Danmark, Arne Jacobsens Allé 15, 2300 Copenhagen S, Denmark
Erik ChristiansenRoskilde Hospital, Kogevej 7-13, 4000 Roskilde, Denmark
PREDICTIVE is a large, multi-national, open-label, prospective, observational study to assess the efficacy and safety of insulin detemir in clinical practice. We report 3-month follow-up data from 389 patients with type 1 (n = 312) and type 2 (n = 77) diabetes from Denmark. Insulin detemir improved glycemic control in type 1 patients, with decreases in mean HbA1c (-0.2%, p = 0.0026), fasting glucose (-1.7 mmol/l, p = 0.0033) and within-patient fasting glucose variability (-0.6 mmol/l, p = 0.0472). Non-significant reductions in glycemic parameters were observed in type 2 patients (-0.3% for HbA1c and -2.7 mmol/l for fasting glucose). There was a decrease in mean body weight in both type 1 and type 2 patients (-0.6 kg, p = 0.025 and -1.0 kg, p = 0.0361, respectively). Three patients (0.8%) reported 4 serious adverse drug reactions, including major hypoglycemia. The incidence of major hypoglycemic episodes was reduced from 3.9/patient-years at baseline to 0.4/patient-years at follow-up in type 1 patients (p < 0.0001), and from 1.0 to 0.0/patient-years in type 2 patients (p = 0.1250). In addition, the mean incidence of total and nocturnal hypoglycemic episodes was reduced in both type 1 (-37.4 and -17.7/patientyears, p < 0.0001 for both) and type 2 patients (-17.7 and -7.8/patient-years, p = 0.0012 and p = 0.0020, respectively). The observations from the Danish cohort of the PREDICTIVE study support the overall findings of PREDICTIVE, i.e. insulin detemir improves glycemic control, with a reduced risk of hypoglycemia and no weight gain.
Keywordsdiabetes · insulin analogues · glycemic control · hypoglycemia · diabetes treatment · observational study,.
Rev Diabet Stud