Content of review 1, reviewed on July 05, 2021
An important and very interesting study within this field indeed. The study has several strengths and was randomized (multicenter) with quite a lot of patients in both study arms, (n=161).
The manuscript is very clear and well written. Maybe a new study later on using glargine U300 versus Degludec U100 at hospital? But the impact of this study is a bit limited because of the study group.
"Moreover, we did not observe a differential effect of degludec compared to glargine on subgroup analyses by HbA1c categories (< 75 mmol/mol vs >75 mmol/mol) or admission glucose (<11 1 vs > 11 1 mmol/L) suggesting that both insulin formulations are comparable in a wide and heterogeneous group of hospitalized patients with T2D."
This is as a matter of fact a rather special group of patients with a really high mean HbA1c (84 mol/mol) and BMI of 34! Totally 40% of the patients only had insulin before the inclusion and very few patients with more modern diabetes therapy (incretins/SGLT-2).
You did perform a post hoc analysis but limited to patients with HbA1c <75 mol/mol...,
What about more common patients with T2D? I think it is important to discuss more about this important issue in this excellent manuscript?
Source
© 2021 the Reviewer.
Content of review 2, reviewed on August 17, 2021
Ok, thank you for this improvement of the manuscript!
Source
© 2021 the Reviewer.
References
J., G. R., J., P. F., Priyathama, V., Radica, A., W., L. D., Maya, F., L., M. A., M., D. G., Saumeth, C., A., U. M., Citlalli, P., Walkiria, Z. K., Limin, P., R., T. K., E., U. G. 2022. Degludec hospital trial: A randomized controlled trial comparing insulin degludec U100 and glargine U100 for the inpatient management of patients with type 2 diabetes. Diabetes, Obesity and Metabolism.
