Evidence map›Paper›PMID 25197322›Full record

ArticleDiabetes management (London, England)2014

Understanding hypoglycemia in hospitalized patients.

Raphael D Hulkower, Rena M Pollack, Joel Zonszein

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Diabetes management (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07769138 (Implementation of Networked Continuous Glucose Monitoring With Telemetry Within the Intensive Care Unit), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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.

NCT07769138 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Implementation of Networked Continuous Glucose Monitoring With Telemetry Within the Intensive Care Unit (ICU-TeleCGM)

TypeobservationalSponsorImperial College Healthcare NHS TrustRan2026 to 2028Enrolled70ConditionsType 1 Diabetes, Type 2 Diabetes Treated With Insulin, Hyperglycemia, Intensive Care (ICU)ArmsDexcom G7, ViewsEMR telemetry
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Temporal patterns of inpatient hypoglycaemia are treatment-dependent.Therapeutic advances in endocrinology and metabolism · 2025
    Article
  9. Review
  10. Article
  11. Medications that Regulate Gastrointestinal Transit Influence Inpatient Blood Glucose.medRxiv : the preprint server for health sciences · 2024
    Article
  12. Article
  13. Glycemic Management in Insulin-Naive Patients in the Inpatient Setting.Diabetes spectrum : a publication of the American Diabetes Association · 2024
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Hypoglycemia symptoms are reduced in hospitalized patients with diabetes.Journal of diabetes and its complications · 2021
    Article
  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

3 authors at 1 institution in 1 country.

Raphael D HulkowerDepartment of Medicine, Jacobi Medical Center, NY, USA.
Rena M PollackDepartment of Clinical Medicine, Albert Einstein College of Medicine & Clinical Diabetes Center, Division of Endocrinology & Metabolism, Montefiore Medical Center, the University Hospital for Albert Einstein College of Medicine, Clinical Diabetes Center, 1825 Eastchester Road, Bronx, NY 10461 USA.
Joel ZonszeinDepartment of Clinical Medicine, Albert Einstein College of Medicine & Clinical Diabetes Center, Division of Endocrinology & Metabolism, Montefiore Medical Center, the University Hospital for Albert Einstein College of Medicine, Clinical Diabetes Center, 1825 Eastchester Road, Bronx, NY 10461 USA.
Albert Einstein College of Medicine · US

Funding

Stable Isotope and Metabolomics CoreP60DK020541 · NIDDK · YESHIVA UNIVERSITY · PI FLEISCHER, NORMAN S. · 1986 to 2014
$29.8M
Translational Research CoreP30DK020541 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STREAMSON C CHUA · 2015 to 2026
$27.7M
The impact of fast food, supermarkets & parks on obesity and diabetes in New YorkP60MD000514 · NIMHD · YESHIVA UNIVERSITY · PI BARNHART, JANICE · 2003 to 2011
$11.3M
NIDDK NIH HHS P30 DK020541NIDDK NIH HHS P60 DK020541NIMHD NIH HHS P60 MD000514
6 · The paper itself

Abstract

Controlling blood glucose in hospitalized patients is important as both hyperglycemia and hypoglycemia are associated with increased cost, length of stay, morbidity and mortality. A limiting factor in stringent control is the concern of iatrogenic hypoglycemia. The association of hypoglycemia with mortality has led to clinical guideline changes recommending more conservative glycemic control than had previously been suggested, with the use of patient specific approaches when appropriate. Healthier, stable patients may be managed with stricter control while the elderly and severely ill may be managed less aggressively. While the avoidance of hypoglycemia is essential in clinical practice, recent studies suggest that a higher mortality rate occurs in spontaneous rather than iatrogenic hypoglycemia. Therefore, inpatient hypoglycemia may be viewed more as a biomarker of disease rather than a true cause of fatality.

Identifiers

PMID25197322
PMCPMC4153389
OpenAlexW1999721276

What OpenQuestion holds

Textmetadata
LicenceTDM
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.