Evidence map›Paper›PMID 22481809›Full record

ArticleIEEE transactions on bio-medical engineering2012

Modular closed-loop control of diabetes.

S D Patek, L Magni, E Dassau, C Karvetski, C Toffanin, G De Nicolao, S Del Favero, M Breton, C Dalla Man, E Renard and 5 more

Abstract read
In one paragraph

Article in IEEE transactions on bio-medical engineering, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
13.5field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 176 citations in OpenAlex.

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  15. Metabolic Models, in Silico Trials, and Algorithms.Journal of diabetes science and technology · 2025
    Review
  16. Metabolic Models, in Silico Trials, and Algorithms.Diabetes technology & therapeutics · 2025
    Review
  17. Article
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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

15 authors at 7 institutions in 3 countries.

S D PatekCenter for Diabetes Technology and Department of Systems and Information Engineering, University of Virginia, Charlottesville, VA 22904-4747, USA. patek@virginia.edu
L Magni
E Dassau
C Karvetski
C Toffanin
G De Nicolao
S Del Favero
M Breton
C Dalla Man
E Renard
H Zisser
F J Doyle
C Cobelli
B P Kovatchev
International Artificial Pancreas (iAP) Study Group
University of Padua · ITUniversity of Pavia · ITUniversity of Virginia · USUniversity of California, Santa Barbara · USEngineering Systems (United States) · USSansum Diabetes Research Institute · USUniversité de Montpellier · FR

Funding

Personalized Fully-Automated Regulation and Co-Regulation of Type 1 Diabetes: A Foundation Biobehavioral ApproachR01DK085623 · NIDDK · UNIVERSITY OF VIRGINIA · PI SUE A BROWN, BORIS P KOVATCHEV · 2009 to 2026
$10.6M
Systems Engineering Focus on Clinical InformaticsT15LM009462 · NLM · UNIVERSITY OF VIRGINIA · PI BASS, ELLEN J · 2007 to 2012
$3.6M
Closed-loop Artificial Pancreas: Algorithm Engineering and Clinical EvaluationR01DK085628 · NIDDK · UNIVERSITY OF CALIFORNIA SANTA BARBARA · PI DOYLE, FRANCIS J, JOVANOVIC, LOIS · 2009 to 2013
$3.4M
NIDDK NIH HHS R01 DK 085623NIDDK NIH HHS R01 DK085623NIDDK NIH HHS R01 DK 085628NIDDK NIH HHS R01 DK085628NLM NIH HHS T15 LM 009462NLM NIH HHS T15 LM009462
6 · The paper itself

Abstract

Modularity plays a key role in many engineering systems, allowing for plug-and-play integration of components, enhancing flexibility and adaptability, and facilitating standardization. In the control of diabetes, i.e., the so-called "artificial pancreas," modularity allows for the step-wise introduction of (and regulatory approval for) algorithmic components, starting with subsystems for assured patient safety and followed by higher layer components that serve to modify the patient's basal rate in real time. In this paper, we introduce a three-layer modular architecture for the control of diabetes, consisting in a sensor/pump interface module (IM), a continuous safety module (CSM), and a real-time control module (RTCM), which separates the functions of insulin recommendation (postmeal insulin for mitigating hyperglycemia) and safety (prevention of hypoglycemia). In addition, we provide details of instances of all three layers of the architecture: the APS© serving as the IM, the safety supervision module (SSM) serving as the CSM, and the range correction module (RCM) serving as the RTCM. We evaluate the performance of the integrated system via in silico preclinical trials, demonstrating 1) the ability of the SSM to reduce the incidence of hypoglycemia under nonideal operating conditions and 2) the ability of the RCM to reduce glycemic variability.

Indexed as

Insulin Infusion SystemsPancreas, ArtificialSignal Processing, Computer-AssistedAdultBiomedical EngineeringBlood GlucoseComputer SimulationDiabetes Mellitus, Type 1HumansInsulinMonitoring, AmbulatoryBlood GlucoseInsulin

Identifiers

PMID22481809
PMCPMC4607512
OpenAlexW2053821121

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.