Evidence map›Paper›PMID 26270205›Full record

ArticleDiabetes technology & therapeutics2015

Effect of Insulin Dilution on Lowering Glycemic Variability in Pump-Treated Young Children with Inadequately Controlled Type 1 Diabetes.

Beata Mianowska, Wojciech Fendler, Bartłomiej Tomasik, Wojciech Młynarski, Agnieszka Szadkowska

Abstract read
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In one paragraph

Article in Diabetes technology & therapeutics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Article
  4. Article
  5. Article
  6. Artificial Pancreas in Young Children.Diabetes technology & therapeutics · 2017
    Article
  7. Challenges in Delivering Smaller Doses of Insulin.Diabetes technology & therapeutics · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Beata MianowskaDepartment of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Łódź , Łódź, Poland .
Wojciech FendlerDepartment of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Łódź , Łódź, Poland .
Bartłomiej TomasikDepartment of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Łódź , Łódź, Poland .
Wojciech MłynarskiDepartment of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Łódź , Łódź, Poland .
Agnieszka SzadkowskaDepartment of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Łódź , Łódź, Poland .
Medical University of Lodz · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated whether in young children with inadequately controlled type 1 diabetes and technical problems with continuous subcutaneous infusion of insulin at 100 units/mL the switch to insulin diluted to 10 units/mL (U10) can limit technical problems and improve glycemic control. SUBJECTS AND

methodsDiluted U10 insulin was started in three children 3.8, 3.2, and 1.3 years old with a hemoglobin A1c (HbA1c) level (mean±SD) of 8.1±0.17% (65±1.7 mmol/mol) and insulin dose of 8.80±2.93 units/day. Patients were evaluated with continuous glucose monitoring (iPro™2; Medtronic Minimed, Northridge, CA) and a quality of life questionnaire (PedsQL™; www.pedsql.org/ ) and surveyed for pump-related problems at baseline and after 3 and 9 months of U10 insulin therapy.

resultsContinuous glucose monitoring records showed that glycemic variability assessed by SD and M100 decreased significantly (P=0.0085 and P=0.0482, respectively). HbA1c levels dropped to 7.3±1.00% (56±11.0 mmol/mol) after 3 months and to 6.7±0.55% (50±6.1 mmol/mol) after 9 months (P=0.12). Technical difficulties were minimized.

conclusionsThese results suggest that the use of U10 insulin decreases glycemic variability and improves hampered pump therapy in young children with inadequately controlled type 1 diabetes.

Indexed as

Equipment FailureInsulin Infusion SystemsBlood GlucoseBlood Glucose Self-MonitoringChild, PreschoolDiabetes Mellitus, Type 1Glycated HemoglobinHumansHypoglycemic AgentsInfantInfusions, SubcutaneousInsulinParentsQuality of LifeBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulin

Identifiers

PMID26270205
OpenAlexW2103407282

What OpenQuestion holds

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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.