Evidence map›Paper›PMID 28100606›Full record

Trial reportDiabetes care2017

Predictive Hyperglycemia and Hypoglycemia Minimization: In-Home Evaluation of Safety, Feasibility, and Efficacy in Overnight Glucose Control in Type 1 Diabetes.

Tamara Spaic, Marsha Driscoll, Dan Raghinaru, Bruce A Buckingham, Darrell M Wilson, Paula Clinton, H Peter Chase, David M Maahs, Gregory P Forlenza, Emily Jost and 9 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Early Stages of Automated Insulin Delivery.Diabetes technology & therapeutics · 2025
    Review
  4. Early Stages of Automated Insulin Delivery.Journal of diabetes science and technology · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Review
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  10. 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

19 authors.

Tamara SpaicSt. Joseph's Health Care London, London, Ontario, Canada.
Marsha DriscollSt. Joseph's Health Care London, London, Ontario, Canada.
Dan RaghinaruJaeb Center for Health Research, Tampa, FL.
Bruce A BuckinghamDepartment of Pediatrics, Division of Pediatric Endocrinology and Diabetes, Stanford University School of Medicine, Stanford, CA.
Darrell M WilsonDepartment of Pediatrics, Division of Pediatric Endocrinology and Diabetes, Stanford University School of Medicine, Stanford, CA.
Paula ClintonDepartment of Pediatrics, Division of Pediatric Endocrinology and Diabetes, Stanford University School of Medicine, Stanford, CA.
H Peter ChaseBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO.
David M MaahsDepartment of Pediatrics, Division of Pediatric Endocrinology and Diabetes, Stanford University School of Medicine, Stanford, CA.
Gregory P ForlenzaBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO.
Emily JostBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO.
Irene HramiakSt. Joseph's Health Care London, London, Ontario, Canada.
Terri PaulSt. Joseph's Health Care London, London, Ontario, Canada.
B Wayne BequetteRensselaer Polytechnic Institute, Troy, NY.
Faye CameronRensselaer Polytechnic Institute, Troy, NY.
Roy W BeckJaeb Center for Health Research, Tampa, FL.
Craig KollmanJaeb Center for Health Research, Tampa, FL.
John W LumJaeb Center for Health Research, Tampa, FL jlum@jaeb.org.
Trang T LyDepartment of Pediatrics, Division of Pediatric Endocrinology and Diabetes, Stanford University School of Medicine, Stanford, CA.
In-Home Closed-Loop (IHCL) Study Group

Funding

Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
K12 Career DevelopmentK12DK094712 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI STECK, ANDREA · 2011 to 2021
$4.5M
In home closed loop reduction of nocturnal hypoglycemia and daytime hyperglycemiaR01DK085591 · NIDDK · JAEB CENTER FOR HEALTH RESEARCH, INC. · PI BECK, ROY W., BUCKINGHAM, BRUCE A · 2009 to 2013
$3.9M
NCATS NIH HHS UL1 TR001085NIDDK NIH HHS K12 DK094712NIDDK NIH HHS R01 DK085591
6 · The paper itself

Abstract

objectiveThe objective of this study was to determine the safety, feasibility, and efficacy of a predictive hyperglycemia and hypoglycemia minimization (PHHM) system compared with predictive low-glucose insulin suspension (PLGS) alone in overnight glucose control. RESEARCH DESIGN AND

methodsA 42-night trial was conducted in 30 individuals with type 1 diabetes in the age range 15-45 years. Participants were randomly assigned each night to either PHHM or PLGS and were blinded to the assignment. The system suspended the insulin pump on both the PHHM and PLGS nights for predicted hypoglycemia but delivered correction boluses for predicted hyperglycemia on PHHM nights only. The primary outcome was the percentage of time spent in a sensor glucose range of 70-180 mg/dL during the overnight period.

resultsThe addition of automated insulin delivery with PHHM increased the time spent in the target range (70-180 mg/dL) from 71 ± 10% during PLGS nights to 78 ± 10% during PHHM nights (

conclusionsThe addition of a predictive hyperglycemia minimization component to our existing PLGS system was shown to be safe, feasible, and effective in overnight glucose control.

Indexed as

Insulin Infusion SystemsAdolescentAdultBlood GlucoseBlood Glucose Self-MonitoringDiabetes Mellitus, Type 1Double-Blind MethodFeasibility StudiesFemaleHumansHyperglycemiaHypoglycemiaHypoglycemic AgentsInsulinMaleYoung AdultBlood GlucoseHypoglycemic AgentsInsulin

Identifiers

PMID28100606
PMCPMC5319476

What OpenQuestion holds

Textmetadata
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.