{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T03:13:39Z","timestamp":1777173219307,"version":"3.51.4"},"reference-count":25,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2020,4,5]],"date-time":"2020-04-05T00:00:00Z","timestamp":1586044800000},"content-version":"unspecified","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"the National Key Research and Development Plan of China","award":["(no. 2016YFC1000101)."],"award-info":[{"award-number":["(no. 2016YFC1000101)."]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Diab Res Care"],"accepted":{"date-parts":[[2020,3,3]]},"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To compare the efficacy and safety of insulin detemir (IDet) versus neutral protamine Hagedorn (NPH) insulin used in pregnant women with diabetes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Research design and methods<\/jats:title>\n                  <jats:p>A randomized study was conducted in diabetic pregnant women (n=240) (including 132 with pregestational diabetes and 108 with gestational diabetes). All patients were randomly divided into two groups: IDet group (n=120) treated with IDet plus short acting insulin Novolin-R before three meals (RRR\u2013IDet plan), and NPH group treated with NPH plus Novolin-R before three meals (RRR\u2013NPH plan). Patients were enrolled during 12\u201328 gestation weeks and followed up until delivery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Basal characteristics, such as age, enrollment gestational weeks, average HbA1c, fasting plasma glucose (FPG) and oral glucose tolerance test (OGTT) were similar between two groups. After 1\u2009week of treatment, the FPG of IDet group were significantly lower than NPH group (p&lt;0.05) and the time required to reach the targeted blood glucose level was significantly shorter (p&lt;0.001). After 3\u2009months of treatment, the HbA1c level in the two groups was normalized but there was no significant difference in HbA1c level. Maternal and neonatal outcomes were comparable between the two therapeutic approaches; however, the incidence of hypoglycemia in IDet group was remarkably lower than that of NPH group (p&lt;0.05). The adverse drug reactions were rare and similar between the two groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>For the treatment of gestational diabetes, both RRR\u2013IDet plan and RRR\u2013NPH plan were reported to control blood glucose effectively. Compared with NPH, IDet could control blood glucose and reached the targets faster and more effectively, thus reducing the number of insulin injections and the incidence of hypoglycemia in pregnant women without increasing adverse birth outcomes. Therefore, for pregnant women with gestational diabetes, who require insulin therapy, IDet would be an ideal basal insulin being worthy of promotion in clinical settings.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjdrc-2019-001155","type":"journal-article","created":{"date-parts":[[2020,4,7]],"date-time":"2020-04-07T05:55:29Z","timestamp":1586238929000},"page":"e001155","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Comparing the efficacy and safety of insulin detemir versus neutral protamine hagedorn insulin in treatment of diabetes during pregnancy: a randomized, controlled study"],"prefix":"10.1136","volume":"8","author":[{"given":"Jing","family":"ji","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Northwest Women\u2019s and Children\u2019s Hospital, Xi'an, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhangya","family":"He","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Safety, School of Public Health, Xi'an Jiaotong University, Xi'an, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhao","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Mi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Northwest Women\u2019s and Children\u2019s Hospital, Xi'an, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Na","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Northwest Women\u2019s and Children\u2019s Hospital, Xi'an, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Northwest Women\u2019s and Children\u2019s Hospital, Xi'an, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiayi","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Safety, School of Public Health, Xi'an Jiaotong University, Xi'an, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhengfeei","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Health and Environmental Sciences, Xi'an Jiaotong-Liverpool University, Suzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3572-3909","authenticated-orcid":false,"given":"Xiaoqin","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Safety, School of Public Health, Xi'an Jiaotong University, Xi'an, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,4,6]]},"reference":[{"key":"2025073112442142000_8.1.e001155.1","doi-asserted-by":"crossref","first-page":"S173","DOI":"10.1016\/S0020-7292(15)30007-2","article-title":"The International Federation of Gynecology and Obstetrics (FIGO) Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care","volume":"131","author":"Hod","year":"2015","journal-title":"International Journal of Gynecology & Obstetrics"},{"key":"2025073112442142000_8.1.e001155.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2013.11.003"},{"key":"2025073112442142000_8.1.e001155.3","unstructured":"International Diabetes Federation . 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