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Barnard-Kelly K, Thienel F, Mader JK, Oliver N, Franek E, Vesper I, Dagenbach N, Vogt G, Etter T, Künsting T. A Three-Arm Randomized Controlled Study Comparing Patient-Reported Outcomes in People With Type 1 Diabetes Using Continuous Subcutaneous Insulin Infusion or Multiple Daily Injections. J Diabetes Sci Technol 2024:19322968241234055. [PMID: 38456441 DOI: 10.1177/19322968241234055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
BACKGROUND The aim of this study was to compare patient-reported outcomes (PROs) in people with type 1 diabetes using either continuous subcutaneous insulin infusion (CSII) with two different insulin patch pumps or multiple daily injections (MDIs). MATERIALS AND METHODS In this randomized three-arm study, people with type 1 diabetes on MDI therapy were included and used either MDI, the Accu-Chek Solo micropump system (Solo) or Omnipod for 26 weeks. From weeks 26 to 39, all participants used CSII with Solo. Patient-reported outcomes were assessed using the diabetes technology questionnaire (DTQ); in addition, HbA1c values were measured. RESULTS Overall, 181 participants were randomized (61 MDI arm, 62 Solo arm, 58 Omnipod arm) and 142 completed the study. After 26 weeks in the study, the DTQ "change" score in the Solo group (105.9 [100.6-111.2]; baseline-adjusted mean [95% confidence interval]) was significantly higher than in the MDI group (94.8 [89.6-100.0]) (P = .001). The comparison between the Solo group (105.1 [99.1-111.1]) and the Omnipod group (108.7 [103.1-114.4]) showed no significant differences (P = .382). HbA1c increased by 0.2% ± 0.7% in the MDI group and decreased in both pump groups (Solo group -0.2% ± 0.8% and Omnipod group -0.1% ± 0.8%). Differences in HbA1c between the Solo group and the MDI group were significant (P = .009), but not between the Solo group and the Omnipod group (P = .896). CONCLUSIONS This study showed that switching from MDI to CSII improves both psychosocial well-being and physiological outcomes. Furthermore, there were no substantial differences between the established and the recently released patch pump. Trial registration at www.clinicaltrials.gov is NCT03478969.
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Affiliation(s)
| | - Florian Thienel
- Christliches Krankenhaus Quakenbrück GmbH, Quakenbrück, Germany
| | - Julia K Mader
- Division of Endocrinology and Diabetology, Medical University of Graz, Graz, Austria
| | - Nick Oliver
- Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK
| | - Edward Franek
- Central Clinical Hospital of the MSWiA in Warsaw, Warsaw, Poland
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Tamm J, Thienel F, Matthaei S. Therapie des Typ 2 Diabetes: Nachhaltige Reduktion kardiovaskulärer Risikoparameter 12 Monate nach strukturierter Diabetes-Schulung und Initiierung einer zielwertorientierten, multifaktoriellen Therapie in den Jahren 2011 bis 2012. DIABETOL STOFFWECHS 2014. [DOI: 10.1055/s-0034-1375081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Matthaei S, Bierwirth R, Fritsche A, Gallwitz B, Häring HU, Joost HG, Kellerer M, Kloos C, Kunt T, Nauck M, Schernthaner G, Siegel E, Thienel F. Behandlung des Diabetes mellitus Typ 2*. DIABETOL STOFFWECHS 2012. [DOI: 10.1055/s-0032-1325582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Matthaei S, Bierwirth R, Fritsche A, Gallwitz B, Häring HU, Joost HG, Kellerer M, Kloos C, Kunt T, Nauck M, Schernthaner G, Siegel E, Thienel F. Behandlung des Diabetes mellitus Typ 2. DIABETOL STOFFWECHS 2011. [DOI: 10.1055/s-0031-1283899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Matthaei S, Bierwirth R, Fritsche A, Gallwitz B, Häring HU, Joost HG, Kellerer M, Kloos C, Kunt T, Nauck M, Schernthaner G, Siegel E, Thienel F. Behandlung des Diabetes mellitus Typ 2. DIABETOL STOFFWECHS 2011. [DOI: 10.1055/s-0031-1283744] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Matthaei S, Bierwirth R, Fritsche A, Gallwitz B, Häring HU, Joost HG, Kellerer M, Kloos C, Kunt T, Nauck M, Schernthaner G, Siegel E, Thienel F. Behandlung des Diabetes mellitus Typ 2. DIABETOL STOFFWECHS 2010. [DOI: 10.1055/s-0030-1262619] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Lange M, Thienel F, Kläne-Menke I, Schadwinkel N, Wernsing M, Matthaei S. Therapie des Typ-2-Diabetes: Nachhaltige Reduktion kardiovaskulärer Risikoparameter 12 Monate nach strukturierter Diabetes-Schulung und Initiierung einer zielwertorientierten, multifaktoriellen Therapie. DIABETOL STOFFWECHS 2010. [DOI: 10.1055/s-0030-1247335] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Matthaei S, Bierwirth R, Fritsche A, Gallwitz B, Häring HU, Joost HG, Kellerer M, Kloos C, Kunt T, Nauck M, Schernthaner G, Siegel E, Thienel F. Behandlung des Diabetes mellitus Typ 2. DIABETOL STOFFWECHS 2009. [DOI: 10.1055/s-0029-1224577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Matthaei S, Bierwirth R, Fritsche A, Gallwitz B, Häring HU, Joost HG, Kellerer M, Kloos C, Kunt T, Nauck M, Schernthaner G, Siegel E, Thienel F. Medical antihyperglycaemic treatment of type 2 diabetes mellitus: update of the evidence-based guideline of the German Diabetes Association. Exp Clin Endocrinol Diabetes 2009; 117:522-57. [PMID: 19876795 DOI: 10.1055/s-0029-1239559] [Citation(s) in RCA: 58] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
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- Diabetes-Zentrum Quakenbrück, Quakenbrück.
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Matthaei S, Gallwitz B, Joost H, Kloos C, Schernthaner G, Thienel F. Diabetes mellitus Typ 2 – Therapie mit oralen Antidiabetika. DIABETOL STOFFWECHS 2009. [DOI: 10.1055/s-0028-1098872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Kläne-Menke I, Thienel F, Matthaei S. Kalziphylaxie – eine seltene Komplikation bei Diabetes mellitus und chronischer Niereninsuffizienz mit hoher Mortalität. DIABETOL STOFFWECHS 2009. [DOI: 10.1055/s-0029-1221960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Matthaei S, Bierwirth R, Fritsche A, Gallwitz B, Häring HU, Joost HG, Kellerer M, Kloos C, Kunt T, Nauck M, Schernthaner G, Siegel E, Thienel F. Medikamentöse antihyperglykämische Therapie des Diabetes mellitus Typ 2. DIABETOL STOFFWECHS 2009. [DOI: 10.1055/s-0028-1098798] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Lange M, Thienel F, Kläne-Menke I, Schadwinkel N, Wernsing M, Matthaei S. Therapie des Typ-2-Diabetes: Nachhaltige Reduktion kardiovaskulärer Risikoparameter 12 Monate nach strukturierter Diabetes-Schulung und Initiierung einer zielwertorientierten, multifaktoriellen Therapie. DIABETOL STOFFWECHS 2008. [DOI: 10.1055/s-2008-1076359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Thienel F, Atahi J, Wernsing M, Wernsing N, Steinbach A, Schadwinkel N, Larbig M, Lemke C, Matthaei S. Effekt von Insulin Glulisin auf postprandiale Plasmaglucosespiegel bei Patienten mit Typ-2-Diabetes nach einer standardisierten Testmahlzeit im Vergleich zu Insulin Lispro. DIABETOL STOFFWECHS 2008. [DOI: 10.1055/s-2008-1076472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Lange M, Thienel F, Unger H, Schadwinkel N, Wernsing M, Matthaei S. Effekt einer zielwertgerichteten, multimodalen Therapie (ZMT) auf die Reduktion kardiovaskulärer Risikoparameter (RP) bei 364 Patienten (PAT) mit Typ 2 Diabetes (T2D) – Ergebnisse nach 12 Monaten. DIABETOL STOFFWECHS 2007. [DOI: 10.1055/s-2007-982264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Atahi J, Adoniu L, Adoniu C, Unger H, Thienel F, Matthaei S. Therapie des Typ 2 Diabetes: Effekt von inhalativem Insulin als add-on-Therapie unter Praxisbedingungen auf HbA1c und Körpergewicht. DIABETOL STOFFWECHS 2007. [DOI: 10.1055/s-2007-982431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Lemke C, Thienel F, Oberstadt S, Unger H, Matthaei S. Korrelation der mit der MDRD-Formel berechneten glomerulären Filtrationsrate (eGFR) mit der endogenen Creatinin Clearance (ECC) bei Patienten (P) mit Typ 2 Diabetes mellitus (T2D) – Konsequenzen für die Indikation / Kontraindikation für eine Metformintherapie. DIABETOL STOFFWECHS 2006. [DOI: 10.1055/s-2006-944022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Diehl SJ, Lehmann KJ, Thienel F, Georgi M. [Value of high-resolution CT of the lungs in acute pulmonary symptoms of patients with HIV infections]. ROFO-FORTSCHR RONTG 1997; 167:227-33. [PMID: 9376549 DOI: 10.1055/s-2007-1015524] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
PURPOSE The purpose of this study was to assess the clinical value of HRCT of the lung in patients with known HIV-infection and acute lung disease. In a prospective study a HRCT was performed in 31 patients infected with the HIV-1 virus, mainly stage C (CDC), who had acute pulmonary symptoms. Precondition for the HRCT examination was a normal or non-specific chest radiograph. A provoked sputum as well as bronchoscopy with bronchoalveolar lavage and/or transbronchial biopsy were performed concurrently. In 24 out of 31 cases a pathogenic organism was identified. 19 of these 24 patients showed abnormal HRCT findings. The most frequent pathogenic organism was Pneumocystis carinii (n = 12). 9 out of these 12 patients (75%) showed pathological HRCT findings consisting of ground-glass opacity. Specific patterns of attenuation could not be worked out except for Pneumocystis carinii infection. Compared to bronchoalveolar lavage, the diagnostic value of HRCT is inferior; it is however helpful in the early stage of disease, when the pathogenic organism has not yet been identified, HRCT may demonstrate parenchymal abnormalities in patients with normal radiographic findings. Compared to bronchoalveolar lavage and induced sputum, HRCT can provide conclusive results within a short time.
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Affiliation(s)
- S J Diehl
- Institut für Klinische Radiologie, Fakultät für Klinische Medizin Mannheim, Universität Heidelberg
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