Resumen de Investigación
Analyzed using Evidence Intelligence™

Mealtime faster aspart improves glycaemic control in T1D.

Última actualización 2 de septiembre de 2026

Key finding

Estimated treatment difference [ETD 95% CI] -0.19% [-0.30; -0.09]

This study evaluated the effects of mealtime faster aspart compared to insulin aspart (IAsp) on glycaemic control in individuals with Type 1 Diabetes (T1D) using carbohydrate counting.

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

High Risk

Guarda investigacion, organiza estudios y vuelve a encontrar evidencia importante rapidamente.

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 effects of mealtime faster aspart compared to insulin aspart (IAsp) on glycaemic control in individuals with Type 1 Diabetes (T1D) using carbohydrate counting.

Clinical relevance

Improving glycaemic control is crucial for individuals with Type 1 Diabetes to reduce the risk of long-term complications. The significant reduction in HbA1c with mealtime faster aspart suggests that it may be a more effective option for managing blood sugar levels, potentially leading to better health outcomes for patients.

Keep in mind

The study's design may limit generalizability to broader populations. Sample size and participant characteristics were not detailed, affecting applicability. Effectiveness of interventions was unclear for some outcomes.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Ludger R, Takashi K, Thomas RP, et al. For people with T1D using carbohydrate counting, mealtime faster aspart may offer improved glycaemic control versus IAsp. Diabetes Therapy. 2019;10(3):1029-1041. doi:10.1007/s13300-019-0608-4

Efectos Principales

Mealtime faster aspart significantly reduced HbA1c by -0.19% (p=0.001) compared to IAsp.

Estimated treatment difference for HbA1c was -2.08 mmol/mol (p=0.001) in favor of mealtime faster aspart.

No significant difference in HbA1c reduction was observed with either dose adjustment method.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Insulin aspart, Mealtime faster aspart, Post-meal faster aspart and HbA1c, Reduction in HbA1c levels in MASH responders, Severe hypoglycemia.

Primary intervention

Insulin aspart

Primary outcomes

  • HbA1c
  • Reduction in HbA1c levels in MASH responders
  • Severe hypoglycemia

Evidence relationships

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

5
Evidence pairs
5
Relationships
1
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: 59

1

Related topics

5

Evidence pairs

603

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

Agrega evidencia relacionada a tu Evidence Tracker

Guarda estudios y paginas de evidencia, organiza tu Evidence Tracker y manten en un solo lugar la investigacion que te importa.

Evidencia principal

Tema de evidencia

HbA1c Reduction

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

HbA1c

Insulin aspart → HbA1c

Insulin aspart → HbA1c

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

HbA1c

Mealtime faster aspart → HbA1c

Mealtime faster aspart → HbA1c

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 HbA1c levels in MASH responders

Mealtime faster aspart → Reduction in HbA1c levels in MASH responders

Mealtime faster aspart → Reduction in HbA1c levels in MASH responders

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

Severe hypoglycemia

Mealtime faster aspart → Severe hypoglycemia

Mealtime faster aspart → Severe hypoglycemia

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

HbA1c

Post-meal faster aspart → HbA1c

Post-meal faster aspart → HbA1c

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

Build your evidence library

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

evidence suggest

La Evidencia Sugiere

  • Mealtime faster aspart reduced HbA1c by -0.19% compared to IAsp.
  • Estimated treatment difference was -2.08 mmol/mol in favor of mealtime faster aspart.
  • Severe hypoglycaemia rates were similar between treatments.
who this applies

A quién se aplica

  • Individuals with Type 1 Diabetes using carbohydrate counting.
  • Participants who require mealtime insulin therapy.
keep in mind

Tener en Cuenta

  • Results may not apply to all populations with Type 1 Diabetes.
  • Further studies are needed to confirm findings across diverse groups.
  • The study did not assess long-term effects of mealtime faster aspart.
between the lines

Entre Líneas

  • The study's design may limit generalizability to broader populations.
  • Sample size and participant characteristics were not detailed, affecting applicability.
  • Effectiveness of interventions was unclear for some outcomes.

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 aspart and HbA1c, Insulin aspart and Reduction in HbA1c levels in MASH responders.

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™.

Does Insulin aspart lower HbA1c?

Moderate Evidence

Insulin aspart may lower HbA1c.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Mealtime faster aspart lower HbA1c?

Emerging Evidence

Mealtime faster aspart appears to lower HbA1c.

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

Ranked evidence signals

  1. 1

    HbA1c

    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

What evidence is available on Mealtime faster aspart and reduction in HbA1c levels in mash responders?

Emerging Evidence

Mealtime faster aspart appears to reduce reduction in HbA1c levels in mash responders.

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

Ranked evidence signals

  1. 1

    Reduction in HbA1c levels in MASH responders

    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

Does Mealtime faster aspart affect severe hypoglycemia?

Emerging Evidence

Current evidence does not show a clear effect of Mealtime faster aspart on severe hypoglycemia.

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

Ranked evidence signals

  1. 1

    Severe hypoglycemia

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | 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
Learn how Evidence Intelligence™ works

Next steps

Continue your research

Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.

Sin anuncios. Sin rastreo.

Centrada en la evidencia, no en la publicidad.

Segura y privada

Tus datos siempre están protegidos.

Siempre al día

Se agregan nuevos estudios todos los días.