Research Summary
Analyzed using Evidence Intelligence™

Vildagliptin improves glycemic control in type 2 diabetes patients on insulin

Last updated July 18, 2026

Key finding

HbA1c decreased from 8.17 ± 0.10 to 7.46 ± 0.15 (P<0.001)

The study investigated the addition of vildagliptin to premixed insulin therapy in patients with type 2 diabetes, finding significant improvements in glycemic control.

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

The study investigated the addition of vildagliptin to premixed insulin therapy in patients with type 2 diabetes, finding significant improvements in glycemic control.

Clinical relevance

Effective management of blood sugar levels is crucial for patients with type 2 diabetes to prevent complications. The addition of vildagliptin to insulin therapy offers a promising strategy to enhance glycemic control, potentially improving patient outcomes and quality of life.

Keep in mind

Limited generalizability due to specific population characteristics Short duration of the study may not capture long-term effects Potential for unmeasured confounders affecting outcomes

Published in

Journal Reference

Publication details and source links for this paper.

Deyue K, Ziyang S, Lanlan J, et al. Vildagliptin Added to Premixed Insulin Therapy Improves Glycemic Control in Patients with Type 2 Diabetes. Frontiers in Endocrinology. 2025;16:1508918. doi:10.3389/fendo.2025.1508918

Main Effects

HbA1c decreased from 8.17% to 7.46% (P<0.001)

Mean blood glucose decreased from 10.7 mmol/L to 8.82 mmol/L (P<0.001)

Time in target range increased from 45.64% to 64.22% (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 and Area under the curve (AUC) for blood glucose levels above 3.9, Blood glucose, Glucose iAUC (OGTT), and 5 more.

Primary intervention

Insulin therapy

Primary outcomes

  • Area under the curve (AUC) for blood glucose levels above 3.9
  • Blood glucose
  • Glucose iAUC (OGTT)

Evidence relationships

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

8
Evidence pairs
8
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: 72

3

Related topics

8

Evidence pairs

556

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 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

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Primary evidence

Evidence relationship

Insulin Therapies and CGM Time in Range

Related evidence

Evidence relationship

Insulin Therapies and HbA1c

Save evidence

Evidence relationship

Insulin Therapies and Fasting Glucose

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Area under the curve (AUC) for blood glucose levels above 3.9

Insulin therapy → Area under the curve (AUC) for blood glucose levels above 3.9

Insulin therapy → Area under the curve (AUC) for blood glucose levels above 3.9

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

Blood glucose

Insulin therapy → Blood glucose

Insulin therapy → Blood glucose

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

Glucose iAUC (OGTT)

Insulin therapy → Glucose iAUC (OGTT)

Insulin therapy → Glucose iAUC (OGTT)

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
83
Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Glycated albumin

Insulin therapy → Glycated albumin

Insulin therapy → Glycated albumin

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

HbA1c

Insulin therapy → HbA1c

Insulin therapy → HbA1c

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 4 studies
ImpactScore™
88
Very Positive
ConsistencyScore™
75
consistent
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Mean amplitude of glycemic excursions (MAGE)

Insulin therapy → Mean amplitude of glycemic excursions (MAGE)

Insulin therapy → Mean amplitude of glycemic excursions (MAGE)

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 above range

Insulin therapy → Time above range

Insulin therapy → Time above range

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 in range

Insulin therapy → Time in range

Insulin therapy → Time in range

Evidence Intelligence™
EvidenceScore™
77
Strong
ImpactScore™
67
Slightly Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • HbA1c improved significantly by -0.71% (P<0.001)
  • Mean blood glucose levels decreased by -1.88 mmol/L (P<0.001)
  • Time above target range reduced by -21.01% (P<0.001)
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes
  • Patients currently on premixed insulin therapy
keep in mind

Keep in Mind

  • Results may not apply to younger populations or those with type 1 diabetes
  • Further studies needed to confirm long-term benefits
  • Individual responses to treatment may vary
between the lines

Between the Lines

  • Limited generalizability due to specific population characteristics
  • Short duration of the study may not capture long-term effects
  • Potential for unmeasured confounders affecting 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 Therapies and HbA1c, Insulin Therapies and Postprandial and OGTT Glucose.

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 in range

    EvidenceScore™ Strong | EvidenceScore™ 77.4 | weak positive | ConsistencyScore™ Generally Consistent | 1 study

  2. 2

    Time above range

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 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 improve HbA1c?

Strong Evidence

Insulin Therapies may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | strong positive | ConsistencyScore™ Consistent | 1 study

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

Limitations

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

Does Insulin Therapies improve fasting glucose?

Strong Evidence

Insulin Therapies appears to improve Fasting Glucose.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Blood glucose

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

Why this answer: This answer is based on 7 supporting studies with consistent results and a positive effect signal.

Limitations

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

Does Insulin Therapies improve postprandial and ogtt glucose?

Strong Evidence

Insulin Therapies appears to improve Postprandial and OGTT Glucose.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Glucose iAUC (OGTT)

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on 4 supporting studies with consistent results and a positive effect signal.

Limitations

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