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Long-Term Effects of Insulin Plus Metformin Regimens on the Overall and Postprandial Glycemic Control of Patients With Type 2 Diabetes: A Comparison of Premeal Insulin Lispro Mixtures to Once-Daily Insulin Glargine
The primary objective of this study is to show that a prandial insulin regimen, consisting of premeal insulin lispro "mid mixture" (or a combined regimen of insulin lispro "mid mixture" and insulin lispro "low mixture") plus metformin will result in significantly better overall glycemic control (lower HbA1c) at endpoint than once-daily insulin glargine plus metformin. Insulin lispro "mid mixture" consists of 50% insulin lispro and 50% NPL. Insulin lispro "low mixture" consists of 25% insulin lispro and 75% NPL. In a substudy of approximately 60 patients, additional data will be collected on markers associated with risk of atherosclerosis or cardiovascular disease in the context of a controlled, outpatient, high-fat test meal.
Details
| Lead sponsor | Eli Lilly and Company |
|---|---|
| Phase | Phase 4 |
| Status | COMPLETED |
| Enrolment | 320 |
| Start date | 2003-12 |
| Completion | 2005-09 |
Conditions
- Diabetes Mellitus, Type 2
Interventions
- premeal insulin lispro mixtures
- insulin glargine
- metformin
Primary outcomes
- HbA1C
Countries
United States, Australia, Greece, India, Netherlands, Poland, Puerto Rico