Evidence map›Paper›PMID 30862242›Full record

ArticleJournal of diabetes science and technology2020

A Clinical Training Program for Hybrid Closed Loop Therapy in a Pediatric Diabetes Clinic.

Cari Berget, Sarah E Thomas, Laurel H Messer, Katelin Thivener, Robert H Slover, R Paul Wadwa, G Todd Alonso

Abstract read
In one paragraph

Article in Journal of diabetes science and technology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Guideline
  2. Article
  3. A Review of Real-World Evidence About the Use of Automated Insulin Delivery Systems in People With Type 1 Diabetes.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    Review
  4. Review
  5. Increasing Use of Diabetes Devices: What Do Health Care Professionals Need?Clinical diabetes : a publication of the American Diabetes Association · 2023
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Observational
  14. Observational
  15. Review
  16. Article
  17. 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

7 authors.

Cari BergetUniversity of Colorado, Denver, Barbara Davis Center for Childhood Diabetes, Aurora, CO, USA.ORCID 0000-0003-3355-9700
Sarah E ThomasUniversity of Colorado, Denver, Barbara Davis Center for Childhood Diabetes, Aurora, CO, USA.
Laurel H MesserUniversity of Colorado, Denver, Barbara Davis Center for Childhood Diabetes, Aurora, CO, USA.ORCID 0000-0001-7493-0989
Katelin ThivenerUniversity of Colorado, Denver, Barbara Davis Center for Childhood Diabetes, Aurora, CO, USA.
Robert H SloverUniversity of Colorado, Denver, Barbara Davis Center for Childhood Diabetes, Aurora, CO, USA.
R Paul WadwaUniversity of Colorado, Denver, Barbara Davis Center for Childhood Diabetes, Aurora, CO, USA.
G Todd AlonsoUniversity of Colorado, Denver, Barbara Davis Center for Childhood Diabetes, Aurora, CO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHybrid closed loop (HCL) therapy is now available in clinical practice for treatment of type 1 diabetes; however, there is limited research on how to educate patients on this new therapy. The purpose of this quality improvement project was to optimize a HCL education program for pediatric patients with type 1 diabetes (T1D).

methodsOur multidisciplinary team developed a novel HCL clinical training program for current insulin pump users, using a quality improvement process called the Plan-Do-Study-Act model. Seventy-two patients participated in the HCL training program, which included (1) an in-person group class to reinforce conventional insulin pump and CGM use on the new system, (2) a live video conference class to teach HCL use, and (3) three follow-up phone calls in the first 4 weeks after HCL training to assess system use, make insulin adjustments, and provide targeted reeducation. Diabetes educators collected data during follow-up calls, and patients completed a training satisfaction survey.

resultsThe quality improvement process resulted in a training program that emphasized education on HCL exits, CGM use, and optimizing insulin to carbohydrate ratio settings. Patients successfully sustained time in HCL in the initial weeks of use and rated the trainings and follow-up calls highly.

conclusionsOngoing educational support is vital in the early weeks of HCL use. This quality improvement project is the first to examine strategies for implementation of HCL therapy into a large pediatric diabetes center, and may inform best practices for implementation of new diabetes technologies into other diabetes clinics.

Indexed as

Insulin Infusion SystemsAdolescentAmbulatory Care FacilitiesBlood GlucoseBlood Glucose Self-MonitoringChildDiabetes Mellitus, Type 1FemaleFollow-Up StudiesGlycemic ControlHumansInsulinInterdisciplinary CommunicationMalePatient Care TeamPatient Education as TopicBlood GlucoseInsulinhybrid closed looppatient educationpediatricsquality improvementtype 1 diabetes

Identifiers

PMID30862242
PMCPMC7196862

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.