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Published byFabian Schreiber Modified over 5 years ago
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Are All Novel Insulins Proven to Be Equally Safe?
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Agenda
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Introduction/Background
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CV Safety With Intensive Glucose Lowering
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Regulatory Request for CV Safety Trials
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ORIGIN Trial
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DEVOTE: Study Drugs
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Rationale for DEVOTE Trial
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DEVOTE Baseline Characteristics
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DEVOTE: Primary Endpoint Time to First 3-Point MACE
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DEVOTE Primary Endpoints: 3-Point MACE, 4-Point MACE, and All-Cause Death
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DEVOTE Study Design
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Hypoglycemia
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Less Hypoglycemia With Basal Analogues vs NPH
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Treat-to-Target Trial Design
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EDITION T2DM Trials Meta-Analysis: Glargine U300 vs Glargine U100
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EDITION T2DM Trials Meta-Analysis: Lower Confirmed/Severe and Nocturnal Hypoglycemia With Glargine U300 vs U100
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Glargine U300
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Degludec vs Glargine U100: BEGIN Trials Meta-Analysis of Patients With T2DM on High Doses of Insulin
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Hypoglycemia Rates With Novel Basal Analogues Meta-Analysis: Insulin Degludec vs Glargine
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Degludec vs Glargine U100: SWITCH Trials Crossover Study Design in Patients With T1DM and T2DM
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Degludec vs Glargine U100: SWITCH Trials Headline Results
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DEVOTE Secondary Endpoints: Similar Mean HbA1c Reduction
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DEVOTE Secondary Endpoints: Rates of Severe Hypoglycemia
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DEVOTE Secondary Endpoints: Rates of Nocturnal Severe Hypoglycemia
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DEVOTE: EAC-Confirmed Severe Hypoglycemia in This Double-Blinded Trial
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Hypoglycemia: The Cardiologist’s Perspective
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Hypoglycemia: The Endocrinologist’s Perspective
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DEVOTE: Trial Design
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Conclusions
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