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Open Access Highly Accessed Research article

Insulin analogues dosing and costs - comparing real-life daily doses of insulin detemir and insulin glargine in type 2 diabetes patients

Marie Jakobsen1*, Mette Dalsgaard1, Morten Hørmann1 and Daniél Vega Møller2

Author Affiliations

1 COWI A/S, Parallelvej 2, Kongens Lyngby, DK-2800, Denmark

2 Novo Nordisk Scandinavia AB, Arne Jacobsens Allé 17, 9, København, DK-2300, Denmark

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BMC Endocrine Disorders 2012, 12:21  doi:10.1186/1472-6823-12-21

Published: 25 September 2012

Abstract

Background

The uncertainties regarding dose similarities between basal long-acting insulin analogues remain. Recent real-world studies indicate dose similarities between insulin detemir and insulin glargine, but further studies are still warranted.

The aim of this study was to compare real-life daily doses of insulin detemir and insulin glargine in type 2 diabetes patients when administered once daily.

Methods

We analysed 536 patient cases from general practice (63%) and endocrinological outpatient clinics (37%). A self-administered questionnaire completed by the treating physician was used to obtain data on patient characteristics (gender, age, weight, height, latest HbA1c-value), daily doses, administration of and number of years treated with insulin detemir and insulin glargine, concomitant insulin use and use of non-insulin anti-diabetic medication. Both bivariate analyses and multivariate regression analyses were applied to examine whether there were differences in the daily doses of insulin detemir and insulin glargine.

Results

There was no significant difference in the mean daily doses of insulin detemir (0.414 U/kg) and insulin glargine (0.416 U/kg) (p = 0.4341). In multivariate regression analyses, age and BMI had a significant influence on daily insulin dose with the dose increasing 0.003 U/kg (p = 0.0375) and 0.008 U/kg (p = 0.0003) with every 1 increment in age and BMI, respectively.

Conclusions

Dose similarities between insulin detemir and insulin glargine were seen in type 2 diabetes patients when administered once daily. Thus, the use of insulin detemir and insulin glargine is not associated with different medical costs if the price and treating algorithm are similar.

Keywords:
Insulin detemir; Insulin glargine; Type 2 diabetes; Dose; Health care costs