Resumen de Investigación
Analyzed using Evidence Intelligence™

Higher TI Dosing Needed for Effective Glucose Management

Última actualización 9 de septiembre de 2026

Key finding

Mean total daily TI dose increased to 48 U at 17 weeks (P = .002).

This study evaluated the dosing patterns of Technosphere insulin in adults with Type 1 diabetes, finding significant increases in total daily doses over 30 weeks.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the dosing patterns of Technosphere insulin in adults with Type 1 diabetes, finding significant increases in total daily doses over 30 weeks.

Clinical relevance

Understanding insulin dosing patterns is crucial for optimizing diabetes management. This study highlights the potential of Technosphere insulin to facilitate necessary dose adjustments in adults with Type 1 diabetes, which could lead to better glycemic control and improved patient outcomes.

Keep in mind

The study's sample size and generalizability may be limited. A1C improvements were modest and not statistically significant. The long-term effects of TI dosing patterns remain unclear.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Jennifer R, Joseph S, Leah-Elena M, Lorena G, Kevin K. Evaluation of Technosphere Insulin Dosing Patterns in Adults with Type 1 Diabetes. AACE Endocrinology and Diabetes. 2026;13(3):428-435. doi:10.1016/j.aed.2025.12.020

Efectos Principales

Mean total daily TI dose increased from 36 U at baseline to 52 U at week 30 (P < .001).

57% of participants increased their TI dose by >4 U at week 17, rising to 74% at week 30.

A1C levels declined to 7.45% at week 30, though this was not statistically significant (P = .059).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Insulin degludec and Percentage of participants increasing TI dose by >4 U at week 17, Percentage of participants increasing TI dose by >4 U at week 30, Reduction in Hemoglobin A1C levels, and 3 more.

Primary intervention

Insulin degludec

Primary outcomes

  • Percentage of participants increasing TI dose by >4 U at week 17
  • Percentage of participants increasing TI dose by >4 U at week 30
  • Reduction in Hemoglobin A1C levels

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

6
Evidence pairs
6
Relationships
5
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

5

Related topics

6

Evidence pairs

1421

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 5 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

Insulin Therapies and HbA1c

Evidencia relacionada

Relación de evidencia

Insulin Therapies and Insulin Resistance

Guardar evidencia

Relación de evidencia

Insulin Therapies and CGM Time in Range

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Percentage of participants increasing TI dose by >4 U at week 17

Insulin degludec → Percentage of participants increasing TI dose by >4 U at week 17

Insulin degludec → Percentage of participants increasing TI dose by >4 U at week 17

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Percentage of participants increasing TI dose by >4 U at week 30

Insulin degludec → Percentage of participants increasing TI dose by >4 U at week 30

Insulin degludec → Percentage of participants increasing TI dose by >4 U at week 30

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Reduction in Hemoglobin A1C levels

Insulin degludec → Reduction in Hemoglobin A1C levels

Insulin degludec → Reduction in Hemoglobin A1C levels

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

TI bolus/basal ratio at week 30

Insulin degludec → TI bolus/basal ratio at week 30

Insulin degludec → TI bolus/basal ratio at week 30

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Time below range

Insulin degludec → Time below range

Insulin degludec → Time below range

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Total daily insulin dose

Insulin degludec → Total daily insulin dose

Insulin degludec → Total daily insulin dose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • Total daily TI dose increased by 12 U at week 17 (P = .002).
  • 74% of participants increased their TI dose by >4 U at week 30.
  • CGM-measured percent time below range showed no significant change (P = .59).
who this applies

A quién se aplica

  • Adults diagnosed with Type 1 diabetes.
  • Participants using Technosphere insulin and insulin degludec.
keep in mind

Tener en Cuenta

  • Results may not be applicable to all populations with Type 1 diabetes.
  • The study did not measure long-term outcomes beyond 30 weeks.
  • Further research is needed to explore the clinical significance of A1C changes.
between the lines

Entre Líneas

  • The study's sample size and generalizability may be limited.
  • A1C improvements were modest and not statistically significant.
  • The long-term effects of TI dosing patterns remain unclear.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Insulin Therapies and Insulin Resistance, Insulin Therapies and HbA1c.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Do Insulin Therapies lower HbA1c?

Strong Evidence

Insulin Therapies may lower HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Reduction in Hemoglobin A1C levels

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 19 supporting studies with generally consistent results and a positive effect signal.

19 supporting studies

Do Insulin Therapies improve insulin resistance?

Strong Evidence

Insulin Therapies appear to improve insulin resistance.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Total daily insulin dose

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 8 supporting studies with consistent results and a positive effect signal.

8 supporting studies

Do Insulin Therapies improve CGM Time in Range?

Strong Evidence

Insulin Therapies may improve CGM Time in Range.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Time below range

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 11 supporting studies with generally consistent results and a positive effect signal.

11 supporting studies

Does Insulin degludec improve percentage of participants increasing ti dose by >4 u at week 17?

Emerging Evidence

Insulin degludec appears to improve percentage of participants increasing ti dose by >4 u at week 17.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Percentage of participants increasing TI dose by >4 U at week 17

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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