Evidence map›Paper›PMID 29885744›Full record

ArticleJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2018

Continuous glucose monitoring guided insulin therapy is associated with improved clinical outcomes in cystic fibrosis-related diabetes.

Freddy Frost, Paula Dyce, Dilip Nazareth, Victoria Malone, Martin J Walshaw

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Article in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. The endocrine complications of cystic fibrosis.Nature reviews. Endocrinology · 2026
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  13. Role of hyperglycemia in cystic fibrosis pulmonary exacerbations.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Freddy FrostLiverpool Adult CF Centre, Liverpool Heart and Chest Hospital, Liverpool L14 3PE, UK. Electronic address: Freddy.Frost@lhch.nhs.uk.
Paula DyceLiverpool Adult CF Specialist Diabetes Service, Liverpool Heart and Chest Hospital, L14 3PE, UK.
Dilip NazarethLiverpool Adult CF Centre, Liverpool Heart and Chest Hospital, Liverpool L14 3PE, UK.
Victoria MaloneLiverpool Adult CF Specialist Diabetes Service, Liverpool Heart and Chest Hospital, L14 3PE, UK.
Martin J WalshawLiverpool Adult CF Centre, Liverpool Heart and Chest Hospital, Liverpool L14 3PE, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionContinuous glucose monitoring (CGM) allows assessment of day to day glycaemic excursions and detects early glucose handling abnormalities that may not be apparent on oral glucose tolerance testing (OGTT). However, there is little published evidence as to whether these early dysglycaemic changes are amenable to treatment. We present outcomes following CGM guided insulin initiation at our centre.

methodsAdults without a prior diagnosis of cystic fibrosis related diabetes (CFRD) whom underwent >72 h CGM at our adult CF centre were included in the study. Clinical outcomes including weight and pulmonary function changes over the next 12 months were compared between groups based on CGM results and subsequent management.

resultsCGM profiles for 59 patients were analysed. Insulin was commenced in 37 patients who had evidence of hyperglycaemia on CGM. Significant improvements in mean [95% confidence intervals] forced expiratory volume in 1 s (FEV

conclusionInsulin treatment targeted towards glycaemic excursions seen on CGM is associated with improvements in lung function and weight with subsequent reduced pulmonary function decline.

Indexed as

Body WeightDiabetes MellitusGlucose Tolerance TestRespiratory Function TestsAdultCorrelation of DataCystic FibrosisDrug MonitoringFemaleHumansHypoglycemic AgentsInsulinMaleMedication Therapy ManagementTreatment OutcomeUnited KingdomHypoglycemic AgentsInsulin

Identifiers

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.