Evidence map›Paper›PMID 29293367›Full record

Trial reportDiabetes technology & therapeutics2018

Insulin Pump and Continuous Glucose Monitor Initiation in Hospitalized Patients with Type 2 Diabetes Mellitus.

David L Levitt, Elias K Spanakis, Kathleen A Ryan, Kristi D Silver

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes technology & therapeutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Diabetes Technology in the Inpatient Setting for Management of Hyperglycemia.Endocrinology and metabolism clinics of North America · 2020
    Review
  11. Article
  12. Clinical Inertia in Type 2 Diabetes Patients in Primary Health Care Clinics in Central Bosnia.Medical science monitor : international medical journal of experimental and clinical research · 2018
    Article
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 at 1 institution in 1 country.

David L Levitt1 Division of Endocrinology, Diabetes, and Nutrition, Department of Medicine, University of Maryland School of Medicine , Baltimore, Maryland.
Elias K Spanakis1 Division of Endocrinology, Diabetes, and Nutrition, Department of Medicine, University of Maryland School of Medicine , Baltimore, Maryland.
Kathleen A Ryan1 Division of Endocrinology, Diabetes, and Nutrition, Department of Medicine, University of Maryland School of Medicine , Baltimore, Maryland.
Kristi D Silver1 Division of Endocrinology, Diabetes, and Nutrition, Department of Medicine, University of Maryland School of Medicine , Baltimore, Maryland.
University of Maryland, Baltimore · US

Funding

Diabetes Research and Training CenterP60DK079637 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI WONDISFORD, FREDRIC E. · 2008 to 2012
$9.1M
NIDDK NIH HHS P60 DK079637
6 · The paper itself

Abstract

backgroundInsulin pumps and continuous glucose monitoring (CGM) are commonly used by patients with diabetes mellitus in the outpatient setting. The efficacy and safety of initiating inpatient insulin pumps and CGM in the nonintensive care unit setting is unknown. MATERIALS AND

methodsIn a prospective pilot study, inpatients with type 2 diabetes were randomized to receive standard subcutaneous basal-bolus insulin and blinded CGM (group 1, n = 5), insulin pump and blinded CGM (group 2, n = 6), or insulin pump and nonblinded CGM (group 3, n = 5). Feasibility, glycemic control, and patient satisfaction were evaluated among groups.

resultsGroup 1 had lower mean capillary glucose levels, 144.5 ± 19.5 mg/dL, compared with groups 2 and 3, 191.5 ± 52.3 and 182.7 ± 59.9 mg/dL (P

conclusionsInsulin pump and CGM initiation are feasible during hospitalization, although they are labor intensive. Although insulin pump initiation may not lead to improved glycemic control, there is a trend toward CGM detecting a greater number of hypoglycemic episodes. Larger studies are needed to determine whether use of this technology can lower inpatient morbidity and mortality.

Indexed as

Insulin Infusion SystemsAdultAgedBlood GlucoseDiabetes Mellitus, Type 2FemaleHumansHypoglycemic AgentsInpatientsInsulinMaleMiddle AgedMonitoring, AmbulatoryPilot ProjectsProspective StudiesBlood GlucoseHypoglycemic AgentsInsulinContinuous glucose monitoringDiabetesInpatientInsulin pump

Identifiers

PMID29293367
PMCPMC5770096
OpenAlexW2781585919

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.