Evidence map›Paper›PMID 36787903›Full record

ArticleDiabetes care2023

Safety and Efficacy of the Omnipod 5 Automated Insulin Delivery System in Adults With Type 2 Diabetes: From Injections to Hybrid Closed-Loop Therapy.

Georgia M Davis, Anne L Peters, Bruce W Bode, Anders L Carlson, Bonnie Dumais, Todd E Vienneau, Lauren M Huyett, Trang T Ly

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Diabetes care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
12.3field-weighted citation impact, top 1% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Early Stages of Automated Insulin Delivery.Journal of diabetes science and technology · 2025
    Review
  9. Early Stages of Automated Insulin Delivery.Diabetes technology & therapeutics · 2025
    Review
  10. Review
  11. Registration and Real-Life Studies on Automated Insulin Delivery Systems.Journal of diabetes science and technology · 2025
    Review
  12. The role of advanced technologies in improving diabetes outcomes.The American journal of managed care · 2025
    Review
  13. Article
  14. Review
  15. AI-Driven Management of Type 2 Diabetes in China: Opportunities and Challenges.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Article
  16. Article
  17. Automating Insulin Dosing and Delivery: The Latest in Algorithms, Calculators, and Devices.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  18. Insulin Pumps for Individuals With Type 2 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  19. Automated Insulin Delivery for Type 1 Diabetes: Present and Future.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  20. 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

8 authors at 5 institutions in 1 country.

Georgia M DavisDepartment of Medicine, Emory University, Atlanta, GA.
Anne L PetersKeck School of Medicine of the University of Southern California, Los Angeles, CA.
Bruce W BodeAtlanta Diabetes Associates, Atlanta, GA.
Anders L CarlsonInternational Diabetes Center, Park Nicollet, HealthPartners, Minneapolis, MN.
Bonnie DumaisInsulet Corporation, Acton, MA.
Todd E VienneauInsulet Corporation, Acton, MA.
Lauren M HuyettInsulet Corporation, Acton, MA.ORCID 0000-0002-2606-6505
Trang T LyInsulet Corporation, Acton, MA.ORCID 0000-0002-5995-1447
Insulet (United States) · USAtlanta Diabetes Associates · USEmory University · USPark Nicollet Clinic · USUniversity of Southern California · US

Funding

New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
Perioperative Stress Hyperglycemia in General and Vascular Surgery PatientsK23DK122199 · NIDDK · EMORY UNIVERSITY · PI DAVIS, GEORGIA M · 2020 to 2024
$891k
NIDDK NIH HHS K23 DK122199NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

objectiveAutomated insulin delivery (AID) has rarely been studied in adults with type 2 diabetes. We tested the feasibility of using AID for type 2 diabetes with the Omnipod 5 System in a multicenter outpatient trial. RESEARCH DESIGN AND

methodsParticipants previously were using either basal-only or basal-bolus insulin injections, with or without the use of a continuous glucose monitor (CGM), and had a baseline HbA1c ≥8% (≥64 mmol/mol). Participants completed 2 weeks of CGM sensor data collection (blinded for those not previously using CGM) with their standard therapy (ST), then transitioned to 8 weeks of AID. Participants who previously used basal-only injections used the AID system in manual mode for 2 weeks before starting AID. Antihyperglycemic agents were continued at clinician discretion. Primary safety outcomes were percentage of time with sensor glucose ≥250 mg/dL and <54 mg/dL during AID. Additional outcomes included HbA1c and time in target range (TIR) (70-180 mg/dL).

resultsParticipants (N = 24) had a mean (± SD) age of 61 ± 8 years, baseline HbA1c of 9.4% ± 0.9% (79 ± 10 mmol/mol), and diabetes duration of 19 ± 9 years. Percentage of time with sensor glucose ≥250 mg/dL decreased with AID by 16.9% ± 16.2% (P < 0.0001), whereas percentage of time at <54 mg/dL remained low during both ST and AID (median [interquartile range] 0.0% [0.00%, 0.06%] vs. 0.00% [0.00%, 0.03%]; P = 0.4543). HbA1c (± SD) decreased by 1.3% ± 0.7% (14 ± 8 mmol/mol; P < 0.0001) and TIR increased by 21.9% ± 15.2% (P < 0.0001) without a significant change in total daily insulin or BMI with AID.

conclusionsFindings from this feasibility trial of AID in adults with type 2 diabetes with suboptimal glycemic outcomes justify further evaluation of this technology in this population.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2AdultAgedBlood GlucoseBlood Glucose Self-MonitoringGlycated HemoglobinHumansHypoglycemic AgentsInsulinInsulin Infusion SystemsInsulin, Regular, HumanMiddle AgedBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulinInsulin, Regular, Human

Identifiers

PMID36787903
PMCPMC10090930
OpenAlexW4320716084

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.