Randomized clinical trials (RCTs) comparing CSII and MDI among people with T2D

ReferenceStudy populationAge, years (mean ± SD)TherapyStudy design and follow-upPrimary endpointPrimary results in CSII groupChange in HbA1cHypoglycemic events (safety)
Raskin P, 2003 [1]13255.1 ± 10.2CSII vs. MDI ± OADsParallel; 24 weeks- HbA1c
- Eight-point BG profile
- Treatment satisfaction
- Reduction of BG at 90’ post-breakfast
- Improved treatment satisfaction favoring CSII
−0.62% ± 1.11% vs. −0.46% ± 0.89% (control) NSNo difference
Reznik Y, 2014 [14]33155.5 ± 9.7CSII vs. MDI ± OADsInterventional (study phase); 6 monthsHbA1c- Reduction in HbA1c
- Decrease in 24-h mean glucose concentration
- Reduction of time in hyperglycemia
−1.1% ± 1.2% vs. −0.4% ± 1.1% (control)*No difference
Aronson R, 2016 [15]33155.5 ± 9.7CSII vs. MDI ± OADsInterventional (continuation phase); 12 monthsHbA1c- Sustained improvement of HbA1c in CSII group
- Further reduction in MDI group after switching to CSII
−1.1% ± 1.2% vs. −0.4% ± 1.1% (control)*No difference
Berthe E, 2007 [18]1755.2 ± 6.6CSII vs. MDICross-over; 24 weeks- HbA1c
- Six-point BG profile
- 24-hour CGM
- Treatment satisfaction
- Reduction in HbA1c
- Reduction of BG
- Increase of TIR
- Fall of hyperglycemic excursions
−1.3% vs. −0.4% (control)**No difference

P < 0.01; P < 0.05. NA: not applicable; NS: not significant; TIR: time in range