OBJECTIVE: To evaluate the efficacy, safety, and clinical implications of insulin icodec, a novel once-weekly basal insulin for the treatment of type 1 diabetes (T1D) and type 2 diabetes (T2D), with an emphasis on its advantages and challenges in comparison with existing daily basal insulins.
DATA SOURCES: A literature search was performed using PubMed, Google Scholar, Embase, and ClinicalTrials.gov up to August 26, 2024, using the search termsand. Studies involving patients living with T1D or T2D on once-weekly insulin icodec compared with once-daily insulins glargine U100, glargine U300, and degludec were considered for this review.
STUDY SELECTION AND DATA EXTRACTION: Relevant English-language studies and those conducted in humans were considered.
DATA SYNTHESIS: Insulin icodec offers reduced dosing frequency and potentially superior glycemic management with a safety profile comparable to existing basal insulins.
RELEVANCE TO PATIENT CARE AND CLINICAL PRACTICE: Insulin icodec once-weekly dosing could significantly improve convenience and efficacy over daily basal insulins, representing a significant innovation in insulin therapy.
CONCLUSIONS: Insulin icodec emerges as a promising option for diabetes management, potentially improving treatment adherence and quality of life.