Evidence map›Paper›PMID 22456864›Full record

Trial reportDiabetes care2012

Assessment of patient-led or physician-driven continuous glucose monitoring in patients with poorly controlled type 1 diabetes using basal-bolus insulin regimens: a 1-year multicenter study.

Jean-Pierre Riveline, Pauline Schaepelynck, Lucy Chaillous, Eric Renard, Agnès Sola-Gazagnes, Alfred Penfornis, Nadia Tubiana-Rufi, Véronique Sulmont, Bogdan Catargi, Céline Lukas and 11 more

2 registry-linked trialsOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01955031 nacompletednot on this mapstarted 2013, after this paper: background citation

Effectiveness and Cost-effectiveness Analysis of a Telemonitoring Program on Lifestyle for People With Type 2 Diabetes at Home. Study Based on a Health Network in Diabetology.

TypeinterventionalSponsorUniversity Hospital, ToulouseRan2013 to 2019Enrolled282ConditionsType 2 DiabetesArmstelemonitoring, Usual care
NCT02092051 nacompletednot on this mapstarted 2014, after this paper: background citation

A Randomized Trial of the Effect of Continuous Glucose Monitoring (CGM) in Individuals With Type 1 Diabetes Treated With Multiple Daily Insulin Injections (MDI)

TypeinterventionalSponsorVastra Gotaland RegionRan2014 to 2016Enrolled161ConditionsDiabetes Mellitus, Type 1ArmsContinuous glucose monitoring with DexCom G4 platina
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Pooled it
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  16. Review
  17. Flash Continuous Glucose Monitoring: Implications for Use of Continuous Data in Daily Diabetes Management.Diabetes spectrum : a publication of the American Diabetes Association · 2019
    Article
  18. Using Flash Continuous Glucose Monitoring in Primary Practice.Clinical diabetes : a publication of the American Diabetes Association · 2019
    Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 18 institutions in 2 countries.

Jean-Pierre RivelineDepartment of Diabetes and Endocrinology, Centre Hospitalier Sud Francilien, Corbeil-Essonnes, France. riveline.jeanpierre@neuf.fr
Pauline Schaepelynck
Lucy Chaillous
Eric Renard
Agnès Sola-Gazagnes
Alfred Penfornis
Nadia Tubiana-Rufi
Véronique Sulmont
Bogdan Catargi
Céline Lukas
Régis P Radermecker
Charles Thivolet
François Moreau
Pierre-Yves Benhamou
Bruno Guerci
Anne-Marie Leguerrier
Luc Millot
Claude Sachon
Guillaume Charpentier
Hélène Hanaire
EVADIAC Sensor Study Group
Centre Hospitalier Sud Francilien · FRUniversité de Reims Champagne-Ardenne · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Nantes · FRCentre Hospitalier Universitaire de Rennes · FRCentre Hospitalier Universitaire de Saint-Étienne · FRHôpital Sainte-Marguerite · FRHôtel-Dieu de Paris · FRInserm · FRPitié-Salpêtrière Hospital · FRUniversité Claude Bernard Lyon 1 · FRUniversité de franche-comté · FRUniversité de Strasbourg · FRUniversité de Toulouse · FRUniversité Grenoble Alpes · FRUniversity of Liège · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe benefits of real-time continuous glucose monitoring (CGM) have been demonstrated in patients with type 1 diabetes. Our aim was to compare the effect of two modes of use of CGM, patient led or physician driven, for 1 year in subjects with poorly controlled type 1 diabetes. RESEARCH DESIGN AND

methodsPatients with type 1 diabetes aged 8-60 years with HbA(1c) ≥ 8% were randomly assigned to three groups (1:1:1). Outcomes for glucose control were assessed at 1 year for two modes of CGM (group 1: patient led; group 2: physician driven) versus conventional self-monitoring of blood glucose (group 3: control).

resultsA total of 257 subjects with type 1 diabetes underwent screening. Of these, 197 were randomized, with 178 patients completing the study (age: 36 ± 14 years; HbA(1c): 8.9 ± 0.9%). HbA(1c) improved similarly in both CGM groups and was reduced compared with the control group (group 1 vs. group 3: -0.52%, P = 0.0006; group 2 vs. group 3: -0.47%, P = 0.0008; groups 1 + 2 vs. group 3: -0.50%, P < 0.0001). The incidence of hypoglycemia was similar in the three groups. Patient SF-36 questionnaire physical health score improved in both experimental CGM groups (P = 0.004). Sensor consumption was 34% lower in group 2 than in group 1 (median [Q1-Q3] consumption: group 1: 3.42/month [2.20-3.91] vs. group 2: 2.25/month [1.27-2.99], P = 0.001).

conclusionsBoth patient-led and physician-driven CGM provide similar long-term improvement in glucose control in patients with poorly controlled type 1 diabetes, but the physician-driven CGM mode used fewer sensors.

Indexed as

AdolescentAdultBlood GlucoseBlood Glucose Self-MonitoringChildDiabetes Mellitus, Type 1FemaleGlycated HemoglobinHumansHypoglycemic AgentsInsulinMaleMiddle AgedPhysiciansYoung AdultBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulin

Identifiers

PMID22456864
PMCPMC3329830
OpenAlexW1987616068

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.