Research Summary
Analyzed using Evidence Intelligence™

Glargine shows more pronounced late glucose-lowering effect than detemir.

Last updated July 18, 2026

Key finding

Total GIR AUC0-30 increased by 1224 mg/kg (95% CI 810–1637, p = 0.00001)

This study investigated the pharmacodynamic properties of insulin analogs detemir and glargine in severely obese patients with type 2 diabetes, revealing significant increases in glucose infusion rates.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 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 investigated the pharmacodynamic properties of insulin analogs detemir and glargine in severely obese patients with type 2 diabetes, revealing significant increases in glucose infusion rates.

Clinical relevance

The findings highlight the effectiveness of insulin detemir and glargine in managing blood sugar levels in severely obese patients with type 2 diabetes. Given the increasing prevalence of obesity and diabetes, these results are crucial for clinicians in tailoring insulin therapy to optimize patient outcomes.

Keep in mind

Study focused on a specific population, limiting generalizability. Effectiveness of insulin analogs may vary in different patient demographics. Sample size and duration may not capture long-term effects.

Published in

Journal Reference

Publication details and source links for this paper.

Stefan B, Miriam F, Fabian M, et al. Pharmacodynamic properties of insulin analogs detemir and glargine in severely obese patients with type 2 diabetes. PLOS ONE. 2018;13(8):e0202007. doi:10.1371/journal.pone.0202007

Main Effects

Total GIR AUC0-30 increased by 1224 mg/kg (p = 0.00001)

GIR AUC0-24 increased by 1040 mg/kg (p = 0.00001)

GIR max increased by 0.93 mg/kg/min (p = 0.01)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Detemir, Glargine U100 and Glucose Infusion Rate Area Under the Curve from 0 to 24 Hours, Glucose infusion rate area under the curve from 24 to 30 hours, Maximum glucose infusion rate, and 3 more.

Primary intervention

Detemir

Primary outcomes

  • Glucose Infusion Rate Area Under the Curve from 0 to 24 Hours
  • Glucose infusion rate area under the curve from 24 to 30 hours
  • Maximum glucose infusion rate

Evidence relationships

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

6
Evidence pairs
6
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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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: 50

0

Related topics

6

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Maximum glucose infusion rate

Detemir → Maximum glucose infusion rate

Detemir → Maximum glucose infusion rate

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

Time to maximum glucose infusion rate

Detemir → Time to maximum glucose infusion rate

Detemir → Time to maximum glucose infusion rate

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

Evidence Library

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evidence suggest

Evidence Suggest

  • GIR AUC0-30 increased by 1224 mg/kg, indicating strong insulin response.
  • GIR max showed a significant increase of 0.93 mg/kg/min.
  • Time to GIR max increased by 1.9 hours, suggesting delayed peak effect.
who this applies

Who this applies to

  • Severely obese patients with type 2 diabetes.
  • Individuals requiring insulin therapy for glycemic control.
keep in mind

Keep in Mind

  • Results may not apply to non-obese or less severe diabetes cases.
  • Further studies needed to assess long-term effects and safety.
  • Variability in individual responses to insulin therapy should be considered.
between the lines

Between the Lines

  • Study focused on a specific population, limiting generalizability.
  • Effectiveness of insulin analogs may vary in different patient demographics.
  • Sample size and duration may not capture long-term effects.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

Questions answered by this study

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

Does Detemir improve glucose infusion rate area under the curve from 0 to 24 hours?

Limited Evidence

Detemir appears to improve Glucose Infusion Rate Area Under the Curve from 0 to 24 Hours.

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

Ranked evidence signals

  1. 1

    Glucose Infusion Rate Area Under the Curve from 0 to 24 Hours

    EvidenceScore™ Unknown | 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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Detemir improve glucose infusion rate area under the curve from 24 to 30 hours?

Limited Evidence

Detemir appears to improve Glucose infusion rate area under the curve from 24 to 30 hours.

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

Ranked evidence signals

  1. 1

    Glucose infusion rate area under the curve from 24 to 30 hours

    EvidenceScore™ Unknown | 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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Detemir improve maximum glucose infusion rate?

Limited Evidence

Detemir appears to improve Maximum glucose infusion rate.

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

Ranked evidence signals

  1. 1

    Maximum glucose infusion rate

    EvidenceScore™ Unknown | 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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Detemir improve time to maximum glucose infusion rate?

Limited Evidence

Detemir appears to improve Time to maximum glucose infusion rate.

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

Ranked evidence signals

  1. 1

    Time to maximum glucose infusion rate

    EvidenceScore™ Unknown | 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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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