Research Summary
Analyzed using Evidence Intelligence™

Dynamic insulin algorithm improves glycaemic control in non-critically ill patients

Last updated July 18, 2026

Key finding

Time to control hyperglycaemia decreased from 8.3 hours to 5.3 hours.

This study evaluated the efficacy of a dynamic algorithm for intravenous insulin therapy compared to a static protocol in non-critically ill patients, finding significant improvements in glycaemic control.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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

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 efficacy of a dynamic algorithm for intravenous insulin therapy compared to a static protocol in non-critically ill patients, finding significant improvements in glycaemic control.

Clinical relevance

Improving glycaemic control in non-critically ill patients is crucial for preventing complications associated with diabetes. The findings suggest that a dynamic approach to insulin therapy may enhance patient outcomes, reduce hospital stays, and lower the risk of hypoglycaemia, ultimately leading to better management of blood sugar levels in this population.

Keep in mind

Non-randomized design may introduce bias. Sample size and demographic details were not specified. Results may not be generalizable to all patient populations.

Published in

Journal Reference

Publication details and source links for this paper.

Nathanaëlle M, Lise B, Céline L, et al. Efficacy of a dynamic algorithm of intravenous insulin therapy in non-critically ill patients. PLOS ONE. 2019;14(1):e0211425. doi:10.1371/journal.pone.0211425

Main Effects

Time to control hyperglycaemia decreased by 3 hours (from 8.3 to 5.3 hours, p=0.01).

In-target blood glucose measurements increased by 4.8% (from 37.0% to 41.8%, p=0.05).

Recurrence of mild hypoglycaemia decreased by 10.3% (from 20.5% to 10.2%, p=0.001).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Insulin therapy, Static protocol of insulin infusion and Glucose variability, Hypoglycemia events, Percentage of blood glucose measurements within target range of 3.9–7.8 mmol/L, and 3 more.

Primary intervention

Insulin therapy

Primary outcomes

  • Glucose variability
  • Hypoglycemia events
  • Percentage of blood glucose measurements within target range of 3.9–7.8 mmol/L

Evidence relationships

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

6
Evidence pairs
6
Relationships
3
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: 68

3

Related topics

6

Evidence pairs

339

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

Save studies and evidence pages, organize your personal Evidence Tracker, and keep the research you care about in one place.

Primary evidence

Evidence relationship

Insulin Therapies and CGM Time in Range

Related evidence

Evidence relationship

Insulin Therapies and Hypoglycemia

Save evidence

Evidence relationship

Insulin Therapies and Glucose Variability

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Glucose variability

Insulin therapy → Glucose variability

Insulin therapy → Glucose variability

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Hypoglycemia events

Insulin therapy → Hypoglycemia events

Insulin therapy → Hypoglycemia events

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Recurrence of mild hypoglycaemia

Insulin therapy → Recurrence of mild hypoglycaemia

Insulin therapy → Recurrence of mild hypoglycaemia

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Time to glycemic target

Insulin therapy → Time to glycemic target

Insulin therapy → Time to glycemic target

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Time to achieve glycaemic control with static protocol

Static protocol of insulin infusion → Time to achieve glycaemic control with static protocol

Static protocol of insulin infusion → Time to achieve glycaemic control with static protocol

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

Build your evidence library

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

evidence suggest

Evidence Suggest

  • Dynamic algorithm reduced time to control hyperglycaemia by 3 hours.
  • In-target blood glucose measurements increased by 4.8%.
  • Recurrence of mild hypoglycaemia decreased by 10.3%.
who this applies

Who this applies to

  • Non-critically ill patients requiring insulin therapy.
  • Patients with diabetes experiencing hyperglycaemia.
keep in mind

Keep in Mind

  • The study's non-randomized design limits causal inferences.
  • Findings may not apply to critically ill patients.
  • Further research is needed to confirm long-term benefits.
between the lines

Between the Lines

  • Non-randomized design may introduce bias.
  • Sample size and demographic details were not specified.
  • Results may not be generalizable to all patient populations.

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 Hypoglycemia, Insulin Therapies and Percentage of blood glucose measurements within target range of 3.9–7.8 mmol/L.

Related evidence relationships

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 Therapies improve cgm time in range?

Strong Evidence

Insulin Therapies appears to improve CGM Time in Range.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Time to glycemic target

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

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

Limitations

  • Population details are unavailable.
8 supporting studiesUpdated: Jul 2026

Does Insulin Therapies affect hypoglycemia?

Strong Evidence

Insulin Therapies may improve Hypoglycemia.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Hypoglycemia events

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

Why this answer: This answer is based on 5 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
5 supporting studiesUpdated: Jul 2026

Does Insulin Therapies improve glucose variability?

Moderate Evidence

Insulin Therapies appears to improve Glucose Variability.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Glucose variability

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

Why this answer: This answer is based on a small number of supporting studies and should be interpreted cautiously.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Jul 2026

Does Insulin therapy improve percentage of blood glucose measurements within target range of 3.9–7.8 mmol/l?

Moderate Evidence

Insulin therapy appears to improve Percentage of blood glucose measurements within target range of 3.9–7.8 mmol/L.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Percentage of blood glucose measurements within target range of 3.9–7.8 mmol/L

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

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

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
Learn how Evidence Intelligence™ works

Next steps

Continue your research

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

No ads. No tracking.

Focused on evidence, not advertising.

Secure & private

Your data is always protected.

Always up to date

New studies added every day.