Evidence map›Paper›PMID 33328284›Full record

ArticleDiabetes care2021

Carbohydrate Requirements for Prolonged, Fasted Exercise With and Without Basal Rate Reductions in Adults With Type 1 Diabetes on Continuous Subcutaneous Insulin Infusion.

Sarah M McGaugh, Dessi P Zaharieva, Rubin Pooni, Ninoschka C D'Souza, Todd Vienneau, Trang T Ly, Michael C Riddell

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Observational
  6. Practical Aspects and Exercise Safety Benefits of Automated Insulin Delivery Systems in Type 1 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. 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 at 3 institutions in 2 countries.

Sarah M McGaughSchool of Kinesiology and Health Science, Muscle Health Research Centre, York University, Toronto, Ontario, Canada.
Dessi P ZaharievaDepartment of Pediatric Endocrinology and Diabetes, Stanford University School of Medicine, Stanford, CA.
Rubin PooniSchool of Kinesiology and Health Science, Muscle Health Research Centre, York University, Toronto, Ontario, Canada.
Ninoschka C D'SouzaSchool of Kinesiology and Health Science, Muscle Health Research Centre, York University, Toronto, Ontario, Canada.
Todd VienneauInsulet Canada Corporation, Oakville, Ontario, Canada.
Trang T LyInsulet Corporation, Acton, MA.
Michael C RiddellSchool of Kinesiology and Health Science, Muscle Health Research Centre, York University, Toronto, Ontario, Canada mriddell@yorku.ca.ORCID 0000-0001-6556-7559
York University · CAInsulet (United States) · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveExercising while fasted with type 1 diabetes facilitates weight loss; however, the best strategy to maintain glucose stability remains unclear. RESEARCH DESIGN AND

methodsFifteen adults on continuous subcutaneous insulin infusion completed three sessions of fasted walking (120 min at 45% VO

resultsCombo had a smaller change in glucose (5 ± 47 mg/dL) versus CHO-only (-49 ± 61 mg/dL,

conclusionsAll strategies examined produced stable glycemia for fasted exercise, but a 50% basal rate reduction, set 90 min pre-exercise, eliminates carbohydrate needs and enhances fat oxidation better than carbohydrate feeding with or without a basal rate reduction set at exercise onset.

Indexed as

Diabetes Mellitus, Type 1AdultBlood GlucoseCross-Over StudiesDietary CarbohydratesExerciseHumansInsulinInsulin Infusion SystemsBlood GlucoseDietary CarbohydratesInsulin

Identifiers

PMID33328284
PMCPMC7818338
OpenAlexW3113196552

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.