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Cardio Diabetes Medicine 2017                                   539





                 BASAL PLUS INSULINS
                 BASAL PLUS- CLINICAL EVIDENCE

                 Trial          Duration of   Trial arms  Population   HbA1c    Target   Proportion  Severe Hypo-  Weight
                                randomized                size     change %  HbAic    achieving   glycemia rate   change,
                                treatment                                   {mmol/    target   (events / pa-  Kg
                                period                                      mol}      HbA1c %  tient – year )
                 OPAL Study(20)  24 weeks  Insulin  glargine+   162  -0.36  ≤48 (6.5)  27.8    0.01±0.15    +1.0
                                           OADs+ Insulin
                                           glulisine at break-
                                           fast,
                                           Insulin        154      -0.31    ≤48(6.5)  33.8     0.04±0.30    +0.9
                                           glargine+OADs+-
                                           Insulin glulisine at
                                           main meal time
                 Proof of concept   3 months  Insulin     51       -0.11    ≤53 (<7)  8.8      0.2±1.1      -0.4
                 study  (33)               glargine+OADs
                                           Insulin        45       -0.37    ≤53 (<7)  22.4     0.0±0.0      +0.7
                                           glargine+OADs+-
                                           Insulin glulisine at
                                           main meal time

                 Basal-plus Therapy: Clinical Evidences
                 OPAL Study: A multicentre, randomized, study of 393 pati















































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