Evidence map›Paper›PMID 32680447›Full record

ArticleJournal of diabetes science and technology2020

Using a Do-It-Yourself Artificial Pancreas: Perspectives from Patients and Diabetes Providers.

Walter Palmer, Siri Atma W Greeley, Lisa R Letourneau-Freiberg, Rochelle N Naylor

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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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. [Impact of urban economic level on glycemic control in patients with type 1 diabetes mellitus using doZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Mapping the Landscape of Do-it-Yourself Medicine.Citizen science : theory and practice · 2022
    Article
  10. Article
  11. Article
  12. 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.

Walter PalmerUniversity of Chicago, Pediatric Residency Training Program, Chicago, IL, USA.ORCID 0000-0002-0864-5722
Siri Atma W GreeleyUniversity of Chicago, Section of Adult and Pediatric Endocrinology, Diabetes, and Metabolism, Chicago, IL, USA.
Lisa R Letourneau-FreibergUniversity of Chicago, Section of Adult and Pediatric Endocrinology, Diabetes, and Metabolism, Chicago, IL, USA.ORCID 0000-0001-9465-4870
Rochelle N NaylorUniversity of Chicago, Section of Adult and Pediatric Endocrinology, Diabetes, and Metabolism, Chicago, IL, USA.

Funding

Pilot and Feasibility ProgramP30DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI Raghavendra G Mirmira · 2013 to 2026
$20.9M
Re-Engineering Translational Research at the University of ChicagoUL1TR000430 · NCATS · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2012 to 2016
$20.2M
NCATS NIH HHS UL1 TR000430NIDDK NIH HHS P30 DK020595
6 · The paper itself

Abstract

backgroundA growing number of people with diabetes are choosing to adopt do-it-yourself artificial pancreas system (DIYAPS) despite a lack of approval from the US Food and Drug Administration.We describe patients' experiences using DIYAPS, and patient and diabetes providers' perspectives on the use of such technology.

methodsWe distributed surveys to patients and diabetes providers to assess each group's perspectives on the use of DIYAPS. The patient survey also assessed glycemic control and impact on sleep. The patient survey was distributed in February 2019 via Facebook and Twitter (

resultsPatients overwhelmingly described improvements in glycemic control and sleep quality: 94% reported improvement in time in range, and 64% reported improvement in all five areas assessed. Eighty-nine percent of patients described DIYAPS as "Safe" or "Very Safe," compared to only 27% of providers. Most felt encouraged by their diabetes provider to continue using DIYAPS, but few described providers as knowledgeable regarding its use. Providers cited a lack of experience with such systems and an inability to troubleshoot them as their most significant challenges.

conclusionsDespite evidence that DIYAPS usage is increasing, our surveys suggest that patients' adoption of this technology and trust in it is outpacing that of diabetes providers. Providers must be aware of this growing population of patients and familiarize themselves with DIYAPS to support patients using this technology.

Indexed as

Glycemic ControlInsulin Infusion SystemsPancreas, ArtificialPatient ParticipationAdolescentAdultAttitude of Health PersonnelAttitude to ComputersBiomarkersBlood GlucoseBlood Glucose Self-MonitoringChildComputer LiteracyDiabetes Mellitus, Type 1Diffusion of InnovationFemaleBiomarkersBlood GlucoseHypoglycemic AgentsInsulinartificial pancreasclosed loopcontinuous glucose monitordo-it-yourselfinsulin pumptime in range

Identifiers

PMID32680447
PMCPMC7753849

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.