Evidence map›Paper›PMID 26907513›Full record

ArticleDiabetes technology & therapeutics2016

Hypoglycemia Prevention and User Acceptance of an Insulin Pump System with Predictive Low Glucose Management.

Pratik Choudhary, Birthe S Olsen, Ignacio Conget, John B Welsh, Linda Vorrink, John J Shin

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Diabetes technology & therapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03177096 (Impact of the Continuous Measurement of Blood Glucose on Insulin Pump on Child Quality of Life With Type 1 Diabetes. A French Monocentric Prospective Study), which is not on this map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
20.3field-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.

NCT03177096 nacompletednot on this map

Impact of the Continuous Measurement of Blood Glucose on Insulin Pump on Child Quality of Life With Type 1 Diabetes. A French Monocentric Prospective Study (IM-CAPT)

TypeinterventionalSponsorGroupe Hospitalier de la Region de Mulhouse et Sud AlsaceRan2016 to 2017Enrolled14ConditionsType1diabetesArmsPeds QL questionnaire and diabetes modulate, WHO-5 questionnaire, Felt questionnaire
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 117 citations in OpenAlex.

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  9. Insulin pumps in children - a systematic review.World journal of clinical pediatrics · 2022
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  17. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 4 countries.

Pratik Choudhary1 King's College London , London, United Kingdom .
Birthe S Olsen2 Herlev Hospital , Herlev, Denmark .
Ignacio Conget3 Diabetes Unit, Clinic and University Hospital , Barcelona, Spain .
John B Welsh4 Medtronic International Trading Sàrl , Tolochenaz, Switzerland .
Linda Vorrink5 Medtronic, Inc. , Northridge, California.
John J Shin4 Medtronic International Trading Sàrl , Tolochenaz, Switzerland .
Medtronic (Switzerland) · CHHerlev Hospital · DKKing's College London · GBMedtronic (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe MiniMed 640G sensor-augmented insulin pump system (Medtronic, Inc., Northridge, CA) can automatically suspend insulin delivery in advance of predicted hypoglycemia and restart it upon recovery. The aims of this analysis were to determine the rate at which predicted hypoglycemia was avoided with this strategy, as well as to assess user acceptance of the system and its insulin management features. SUBJECTS AND

methodsForty subjects with type 1 diabetes used the system for 4 weeks. We retrospectively evaluated performance of the system, using downloaded pump and sensor data, and evaluated user acceptance via questionnaires.

resultsThere were 2,322 suspend before low events (2.1 per subject-day). The mean (± SD) duration of pump suspension events was 56.4 ± 9.6 min, and the mean subsequent sensor glucose (SG) nadir was 71.8 ± 5.2 mg/dL. SG values following 1,930 (83.1%) of the predictive suspensions did not reach the preset low limit. Nadir SG values of ≤50 and ≤60 mg/dL were seen in 207 (8.9%) and 356 (15.3%) of the predictive suspensions, respectively. Blood glucose (BG) and SG values before and during the study were comparable (P > 0.05). The mean absolute relative difference between paired SG and BG values was 10.9 ± 13.8%. Subjects felt confident using the system, agreed that it helped protect them from hypoglycemia, and wished to continue using it.

conclusionsAutomatic insulin pump suspension as implemented in the MiniMed 640G system can help patients avoid hypoglycemia, without significantly increasing hyperglycemia.

Indexed as

Insulin Infusion SystemsAdultBlood GlucoseChildHumansHypoglycemiaHypoglycemic AgentsInsulinRetrospective StudiesBlood GlucoseHypoglycemic AgentsInsulin

Identifiers

PMID26907513
PMCPMC4870649
OpenAlexW2330613462

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.