Evidence map›Paper›PMID 36562593›Full record

SynthesisJournal of diabetes science and technology2023

Advances in Insulin Infusion Set in the New Era of Automated Insulin Delivery: A Systematic Review.

Gina Zhang, Evan Romo-Anselmo, Tim Kwa, Ohad Cohen, Robert Vigersky, Sarnath Chattaraj

Open access · greenAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of diabetes science and technology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

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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

6 authors at 2 institutions in 2 countries.

Gina ZhangMedtronic Diabetes, Northridge, CA, USA.ORCID 0000-0001-8310-016X
Evan Romo-AnselmoMedtronic Diabetes, Northridge, CA, USA.
Tim KwaMedtronic Diabetes, Northridge, CA, USA.
Ohad CohenMedtronic Diabetes, Northridge, CA, USA.
Robert VigerskyMedtronic Diabetes, Northridge, CA, USA.ORCID 0000-0002-3546-3385
Sarnath ChattarajMedtronic Diabetes, Northridge, CA, USA.ORCID 0000-0003-0409-0886
Medtronic (United States) · USSheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAutomated insulin delivery (AID) has become a well-known research topic devoted to achieving better glycemic outcomes. AID systems consist primarily of three components: the continuous glucose monitoring system, the insulin delivery system, either tethered or patch pump, and the control system (algorithm). A key component in the tethered pump AID system is the insulin infusion set (IIS). This Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) study was conducted to evaluate the IIS evolution in the era of AID and to provide future perspectives of IIS clinical use.

methodsLiterature searches for articles published from January 2016 to July 2022 were performed in Embase/Medline and PubMed. Data were extracted following PRISMA guidelines. Primary meta-analysis outcomes were IIS wear duration, total daily dose of insulin, and IIS failure reasons/modes.

resultsWe identified 387 publications, of which 15 eligible studies compared various IISs comprising over 1400 participants and >53 000 wears. Half of the studies published in 2022 were focused on extended IISs designed for wear durations of seven days or more. Three clinical trials have demonstrated the safe use of extended IISs to seven days of wear in individuals with type 1 diabetes, and two also demonstrated good glycemic control throughout the seven-day use.

conclusionsResearch in insulin infusion technology has increased in the last six years, and extended IISs have demonstrated improved overall performance, particularly in duration of wear. Paths for future products are discussed with an emphasis on understanding the existing barriers related to both technical and nontechnical issues.

Indexed as

Diabetes Mellitus, Type 1InsulinBlood GlucoseBlood Glucose Self-MonitoringHumansHypoglycemic AgentsInsulin Infusion SystemsInsulin, Regular, HumanBlood GlucoseHypoglycemic AgentsInsulinInsulin, Regular, HumanAIDextended wearinsulin infusion setunexplained hyperglycemia

Identifiers

PMID36562593
PMCPMC10012377
OpenAlexW4312113599

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.