Evidence map›Paper›PMID 36507816›Full record

ArticleClinical medicine (London, England)2022

Continuous glucose monitoring for diabetes: potential pitfalls for the general physician.

Samuel S Herrod, Grace Liversedge, Bijay Vaidya, Neil Walker

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Clinical medicine (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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 at 1 institution in 1 country.

Samuel S HerrodMacLeod Diabetes and Endocrine Centre, Exeter, UK.
Grace LiversedgeMacLeod Diabetes and Endocrine Centre, Exeter, UK.
Bijay VaidyaMacLeod Diabetes and Endocrine Centre, Exeter, UK.
Neil WalkerMacLeod Diabetes and Endocrine Centre, Exeter, UK neilwalker1@nhs.net.
Diabetes UK · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 31-year-old man presented systemically unwell with diabetic ketoacidosis (DKA). He was using an intermittently scanned continuous glucose monitoring (CGM) device that had been recording low or normal glucose readings for the 48 hours prior to admission. The sensor site had become infected, and we believe this soft tissue infection caused his CGM device to record falsely low glucose readings leading the patient to erroneously lower his insulin doses and take extra carbohydrates, precipitating DKA. CGM devices measure glucose levels in the interstitial fluid. When interstitial glucose readings do not match symptoms or expectations, a capillary blood glucose reading should be taken to correlate and impact treatment decisions. There will be an increase in patients presenting to hospital with CGM devices as the National Institute for Health and Care Excellence guidelines have recently been updated. We use this interesting clinical case to provide context for key learning points about CGM devices for the general physician.

Indexed as

Diabetes Mellitus, Type 1Diabetic KetoacidosisPhysiciansAdultBlood GlucoseBlood Glucose Self-MonitoringGlucoseGlycated HemoglobinHumansMaleBlood GlucoseGlucoseGlycated Hemoglobinadverse eventcontinuous glucose monitoringdiabetic ketoacidosisinfectiontype 1 diabetes

Identifiers

PMID36507816
PMCPMC9595018
OpenAlexW4297914158

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.