Evidence map›Paper›PMID 36914699›Full record

ArticleNPJ digital medicine2023

Enabling fully automated insulin delivery through meal detection and size estimation using Artificial Intelligence.

Clara Mosquera-Lopez, Leah M Wilson, Joseph El Youssef, Wade Hilts, Joseph Leitschuh, Deborah Branigan, Virginia Gabo, Jae H Eom, Jessica R Castle, Peter G Jacobs

Full text read
In one paragraph

Article in NPJ digital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

10 authors.

Clara Mosquera-LopezArtificial Intelligence for Medical Systems (AIMS) Lab, Department of Biomedical Engineering, Oregon Health & Science University, Portland, OR, USA. mosquera@ohsu.edu.ORCID http://orcid.org/0000-0003-1586-2490
Leah M WilsonHarold Schnitzer Diabetes Health Center, Oregon Health & Science University, Portland, OR, USA.ORCID http://orcid.org/0000-0003-3634-481X
Joseph El YoussefHarold Schnitzer Diabetes Health Center, Oregon Health & Science University, Portland, OR, USA.
Wade HiltsArtificial Intelligence for Medical Systems (AIMS) Lab, Department of Biomedical Engineering, Oregon Health & Science University, Portland, OR, USA.
Joseph LeitschuhArtificial Intelligence for Medical Systems (AIMS) Lab, Department of Biomedical Engineering, Oregon Health & Science University, Portland, OR, USA.ORCID http://orcid.org/0000-0001-5434-9361
Deborah BraniganHarold Schnitzer Diabetes Health Center, Oregon Health & Science University, Portland, OR, USA.ORCID http://orcid.org/0000-0003-2822-587X
Virginia GaboHarold Schnitzer Diabetes Health Center, Oregon Health & Science University, Portland, OR, USA.ORCID http://orcid.org/0000-0001-6256-9938
Jae H EomHarold Schnitzer Diabetes Health Center, Oregon Health & Science University, Portland, OR, USA.ORCID http://orcid.org/0000-0002-0319-255X
Jessica R CastleHarold Schnitzer Diabetes Health Center, Oregon Health & Science University, Portland, OR, USA.
Peter G JacobsArtificial Intelligence for Medical Systems (AIMS) Lab, Department of Biomedical Engineering, Oregon Health & Science University, Portland, OR, USA.

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Improving Glycemic Management in Patients with Type 1 Diabetes Using a Context-aware Automated Insulin Delivery SystemR01DK122583 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI JACOBS, PETER G, WILSON, LEAH MEGAN · 2019 to 2022
$2.4M
Improving glucose control with advanced technology designed for high risk patients with type 1 diabetesR01DK120367 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI JACOBS, PETER G, WILSON, LEAH MEGAN · 2018 to 2021
$2.4M
Enabling Fully Automated Closed Loop Control in Type 1 Diabetes Through an Artificial Intelligence Meal Detection Algorithm and PramlintideR01DK129382 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI JACOBS, PETER G, WILSON, LEAH MEGAN · 2021 to 2024
$2.2M
NCATS NIH HHS UL1 TR002369NIDDK NIH HHS R01 DK120367NIDDK NIH HHS R01 DK122583NIDDK NIH HHS R01 DK129382
6 · The paper itself

Abstract

We present a robust insulin delivery system that includes automated meal detection and carbohydrate content estimation using machine learning for meal insulin dosing called robust artificial pancreas (RAP). We conducted a randomized, single-center crossover trial to compare postprandial glucose control in the four hours following unannounced meals using a hybrid model predictive control (MPC) algorithm and the RAP system. The RAP system includes a neural network model to automatically detect meals and deliver a recommended meal insulin dose. The meal detection algorithm has a sensitivity of 83.3%, false discovery rate of 16.6%, and mean detection time of 25.9 minutes. While there is no significant difference in incremental area under the curve of glucose, RAP significantly reduces time above range (glucose >180 mg/dL) by 10.8% (P = 0.04) and trends toward increasing time in range (70-180 mg/dL) by 9.1% compared with MPC. Time below range (glucose <70 mg/dL) is not significantly different between RAP and MPC.

Identifiers

PMID36914699
PMCPMC10011368

What OpenQuestion holds

Textfull text, public
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identifiers read1
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.