Combination insulin degludec/insulin aspart significantly reduced hypoglycaemia in diabetes patients

Insulin degludec / insulin aspart reduced rates of hypoglycaemia by 58%* in people with type 2 diabetes compared to biphasic insulin aspart when dosed twice-daily. This is according to a study released today by Novo Nordisk at the International Diabetes Federation (IDF) 21st World Diabetes Congress.1

In the study, insulin degludec/insulin aspart reduced the overall occurrence of hypoglycaemia during the day as well as at night (occurring between 23:00 and 05.59). Improvements in fasting plasma glucose (FPG) were also seen, with levels significantly lower in the insulin degludec/insulin aspart group vs biphasic insulin aspart (6.4 vs. 7.5 mmol/l**). The study also found that insulin degludec/insulin aspart was well tolerated and provided comparable overall glycaemic control to biphasic insulin aspart.1

“The unique way in which insulin degludec/insulin aspart works, with the basal insulin providing an ultra-long and steady action profile, plus a bolus boost of insulin aspart, provides a simple way to introduce mealtime dosing at any meal,” said Dr Alan Moses, Corporate Vice President and Global Chief Medical Officer, Novo Nordisk. “These benefits, along with the reduced risk of hypoglycaemia and improved FPG shown in these studies, are very promising for people living with diabetes.”

A second study also presented today showed that rates of hypoglycaemia at night were reduced by 37%*** in people with type 1 diabetes using once-daily insulin degludec/insulin aspart (with additional rapid-acting mealtime insulin doses for the remaining meals), compared to those using once-daily insulin detemir plus rapid-acting insulin at all main meals.2

* Estimated rate ratio (ERR): 0.42 [0.23; 0.75]

** Estimated treatment difference (ETD):-0.99mmol/l [-1.68; -0.29])

*** ERR: 0.63 [95% CI: 0.49; 0.81] p=0.0003

References

1. Niskanen et al. IDegAsp, a soluble insulin combination of ultra-long-acting insulin degludec and insulin aspart, in type 2 diabetes: comparison with biphasic insulin aspart 30. IDF abstract #P-1437
2. Hirsch et al. BOOST™ T1 IDegAsp, a soluble insulin combination of ultra-long-acting insulin degludec and insulin aspart, used once daily in basal-bolus treatment with insulin aspart in type 1 diabetes . IDF abstract #P-1438
3. Heise T, et al. Insulin Degludec: two fold longer half-life and a more consistent pharmacokinetic profile compared to insulin glargine. IDF abstract #P-1444
4. Kurtzhals P, et al. Multi-hexamer formation is the underlying basis for the ultra-long glucose lowering effect of insulin degludec. Poster 1049, presented at European Association for the Studies of Diabetes (EASD), Lisbon, September, 2011
5. Hollander P et al. Insulin degludec improves long-term glycaemic control with a lower rate of hypoglycaemia vs. insulin glargine in type 2 diabetes. IDF abstract #P-1442
6. Birkeland KI, et al. Insulin degludec: similar glycaemic control and safety when given in a flexible daily dosing regimen or the same time daily in type 2 diabetes. IDF abstract #P-1443
7. Bain S, et al. Oral presentation: Flexible once-daily dosing of insulin degludec is as efficacious and safe as insulin glargine given the same time each day in type 2 diabetes. IDF abstract #O-0508
8. Heller S, et al. Induced hypoglycaemia in type 1 diabetes: enhanced counter-regulatory hormone response with insulin Degludec versus insulin glargine. IDF abstract #D-0723
9. Home PD, et al. Poster 941, presented at European Association for the Studies of Diabetes (EASD), Lisbon, September, 2011