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Stable glucose control remains central to managing type 2 diabetes. A new study published in the Journal of Diabetology highlights that basal insulin therapy offers better glycemic stability than premixed regimens when assessed through continuous glucose monitoring (CGM).

The retrospective cohort included 56 adults with type 2 diabetes who were treated with either basal or premixed insulin. The primary endpoint, time in range (TIR), was significantly higher in the basal insulin group (74 ± 16%) compared with the premixed group (60 ± 22%; P < 0.05). Likewise, time above range (TAR), reflecting periods of hyperglycemia, was notably lower with basal insulin (25 ± 17% vs. 37 ± 23%; P < 0.05).

There were no significant differences in time below range (TBR) or coefficient of variation, suggesting comparable safety profiles. These findings reinforce basal insulin as an effective strategy for achieving consistent glucose stability and reducing hyperglycemia risk in adults with type 2 diabetes.
 

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Key highlights
  • Basal insulin achieved a significantly higher mean time in range (74%) than premixed insulin (60%).
  • Time above range was lower with basal insulin, indicating better hyperglycemia control.
  • Both regimens showed similar safety, with no significant difference in time below range or glucose variability.
Source

Cao H, Chen X, Cui Y, Zhang Y, Liu Z. Comparing the efficacy and safety of basal insulin and premixed insulin on glycemic control in T2DM patients under CGM blood glucose monitoring. J Diabetol. 2025;16(4):333-339. doi:10.4103/jod.jod_184_24

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Basal Insulin Provides Superior Glycemic Stability in Type 2 Diabetes
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Continuous glucose monitoring reveals higher time in range and reduced hyperglycemia risk with basal insulin versus premixed regimens

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