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Examining CV Effects of Basal Insulin Therapy
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This program will include a discussion of data that were presented in abstract form. These data should be considered preliminary until published in a peer-reviewed journal.
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Type 2 Diabetes (T2D) Major Medical and Societal Challenge
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Glycemic Control ~100 Million People in the United States
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Basal Insulin Development
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Basal Insulin Titration in the Treat-to-Target Trial Glargine vs NPH
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Novel Basal Insulin Glargine U-300
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More Sustained Reductions in HbA1c With Glargine U-300
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Participants on Glargine U-300 Had Less Nocturnal Hypoglycemia and Any Time of Day Hypoglycemia
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Greater Daily Basal Insulin Dose With Glargine U-300 and Less Weight Gain
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Novel Basal Insulin Degludec
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Insulin Glargine vs Insulin Degludec Variability
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Outcome Reduction With an Initial Glargine Intervention ORIGIN Trial
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Participants in ORIGIN Key Inclusion Criteria
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Interventions (Added to Lifestyle)
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Median Glargine Dose & IQR (U/kg)
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Median HbA1c Levels
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Hypoglycemia and Weight (6 to 7 years)
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1st Co-Primary Endpoint MI, Stroke, or CV Death
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2nd Co-Primary Endpoint: MI, Stroke, or CV Death, Revascularization, Heart Failure
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DEVOTE CVOT with Insulin Degludec Trial Design
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Time to First 3-Point MACE
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Basal Insulin Dose (U/kg)
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Glycemic Control
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Rates of Severe Hypoglycemia
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Rates of Nocturnal Severe Hypoglycemia
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DEVOTE Confirmed the Results From BEGIN and SWITCH With Regards to Hypoglycemia in Patients With T2D
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Fear of Hypoglycemia Conflicts with Treatment Success for Both Patients and Clinicians
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Systematic Review: Association of Hypoglycemia With Outcomes
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Interpreting the Data and Clinical Implications Can We Compare ORIGIN vs DEVOTE?
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DELIVER 2: Hypoglycemia-Related Data
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Concluding Remarks
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Concluding Remarks (cont)
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Abbreviations
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Abbreviations (cont)
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