Evidence map›Paper›PMID 27381030›Full record

ArticleJournal of diabetes science and technology2016

How Much Is Short-Term Glucose Prediction in Type 1 Diabetes Improved by Adding Insulin Delivery and Meal Content Information to CGM Data? A Proof-of-Concept Study.

Chiara Zecchin, Andrea Facchinetti, Giovanni Sparacino, Claudio Cobelli

Abstract read
In one paragraph

Article in Journal of diabetes science and technology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Feature-Based Machine Learning Model for Real-Time Hypoglycemia Prediction.Journal of diabetes science and technology · 2021
    Article
  9. Article
  10. Article
  11. Review
  12. A machine-learning approach to predict postprandial hypoglycemia.BMC medical informatics and decision making · 2019
    Article
  13. Review
  14. Observational
  15. Deep Multi-Output Forecasting: Learning to Accurately Predict Blood Glucose Trajectories.KDD : proceedings. International Conference on Knowledge Discovery & Data Mining · 2018
    Article
  16. Article
  17. 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

4 authors.

Chiara ZecchinDepartment of Information Engineering, University of Padova, Padova, Italy.
Andrea FacchinettiDepartment of Information Engineering, University of Padova, Padova, Italy.
Giovanni SparacinoDepartment of Information Engineering, University of Padova, Padova, Italy.
Claudio CobelliDepartment of Information Engineering, University of Padova, Padova, Italy cobelli@dei.unipd.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn type 1 diabetes (T1D) management, short-term glucose prediction can allow to anticipate therapeutic decisions when hypo/hyperglycemia is imminent. Literature prediction methods mainly use past continuous glucose monitoring (CGM) readings. Sophisticated algorithms can use information on insulin delivered and meal carbohydrate (CHO) content. The quantification of how much insulin and CHO information improves glucose prediction is missing in the literature and is investigated, in an open-loop setting, in this proof-of-concept study.

methodsWe adopted a versatile literature prediction methodology able to utilize a variety of inputs. We compared predictors that use (1) CGM; (2) CGM and insulin; (3) CGM and CHO; and (4) CGM, insulin, and CHO. Data of 15 T1D subjects in open-loop setup were used. Prediction was evaluated via absolute error and temporal gain focusing on meal/night periods. The relative importance of each individual input of the predictor was evaluated with a sensitivity analysis.

resultsFor a prediction horizon (PH) ≥ 30 minutes, insulin and CHO information improves prediction accuracy of 10% and double the temporal gain during the 2 hours following the meal. During the night the 4 methods did not give statistically different results. When PH ≥ 45 minutes, the influence of CHO information on prediction is 5-fold that of insulin.

conclusionsIn an open-loop setting, with PH ≥ 30 minutes, information on CHO and insulin improves short-term glucose prediction in the 2-hour time window following a meal, but not during the night. CHO information improves prediction significantly more than insulin.

Indexed as

AlgorithmsBlood GlucoseBlood Glucose Self-MonitoringDiabetes Mellitus, Type 1HumansHypoglycemic AgentsInsulinInsulin Infusion SystemsMealsBlood GlucoseHypoglycemic AgentsInsulincontinuous glucose monitoringneural networknonlinear modelingsensitivity analysissignal processing

Identifiers

PMID27381030
PMCPMC5032963

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Registered trials

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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.