Evidence map›Paper›PMID 38491800›Full record

ArticleJournal of diabetes science and technology2024

Combining an Electrochemical Continuous Glucose Sensor With an Insulin Delivery Cannula: A Feasibility Study.

Cheng Yi Yuan, Bella Halim, Yee W Kong, Jean Lu, Ralph Dutt-Ballerstadt, Peter Eckenberg, Ken Hillen, Anh Koski, Vlad Milenkowic, Emma Netzer and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of diabetes science and technology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

17 authors at 1 institution in 2 countries.

Cheng Yi YuanDepartment of Medicine, St Vincent's Hospital Melbourne, The University of Melbourne, Fitzroy, VIC, USA.
Bella HalimDepartment of Medicine, St Vincent's Hospital Melbourne, The University of Melbourne, Fitzroy, VIC, USA.
Yee W KongDepartment of Medicine, St Vincent's Hospital Melbourne, The University of Melbourne, Fitzroy, VIC, USA.
Jean LuDepartment of Medicine, St Vincent's Hospital Melbourne, The University of Melbourne, Fitzroy, VIC, USA.
Ralph Dutt-BallerstadtPacific Diabetes Technologies, Portland, OR, USA.
Peter EckenbergPacific Diabetes Technologies, Portland, OR, USA.
Ken HillenPacific Diabetes Technologies, Portland, OR, USA.
Anh KoskiPacific Diabetes Technologies, Portland, OR, USA.
Vlad MilenkowicPacific Diabetes Technologies, Portland, OR, USA.
Emma NetzerDepartment of Medicine, St Vincent's Hospital Melbourne, The University of Melbourne, Fitzroy, VIC, USA.
Varuni ObeyesekereDepartment of Medicine, St Vincent's Hospital Melbourne, The University of Melbourne, Fitzroy, VIC, USA.
Solomon ReidPacific Diabetes Technologies, Portland, OR, USA.
Catriona SimsDepartment of Medicine, St Vincent's Hospital Melbourne, The University of Melbourne, Fitzroy, VIC, USA.
Sara VogrinDepartment of Medicine, St Vincent's Hospital Melbourne, The University of Melbourne, Fitzroy, VIC, USA.
Huan-Ping WuPacific Diabetes Technologies, Portland, OR, USA.
Thomas SeidlPacific Diabetes Technologies, Portland, OR, USA.
David N O'NealDepartment of Medicine, St Vincent's Hospital Melbourne, The University of Melbourne, Fitzroy, VIC, USA.ORCID 0000-0002-0870-4032
St Vincent's Hospital Melbourne · AU

Funding

Development of a miniaturized single-port automated insulin delivery system utilizing a glucose sensing catheter, ultra-concentrated insulin, and an optimized control algorithmR44DK123766 · NIDDK · PACIFIC DIABETES TECHNOLOGIES · PI SEIDL, THOMAS LUDWIG · 2021 to 2022
$1.5M
Development of a miniaturized, single-port automated insulin delivery system utilizing a glucose sensing catheter, ultra-concentrated insulin, and an optimized control algorithmR43DK123766 · NIDDK · PACIFIC DIABETES TECHNOLOGIES · PI CARGILL, ROBERT S · 2019 to 2019
$300k
NIDDK NIH HHS R43 DK123766NIDDK NIH HHS R44 DK123766
6 · The paper itself

Abstract

backgroundCombining a continuous glucose monitor with an insulin delivery cannula (CGM-IS) could benefit clinical outcomes. We evaluated the feasibility of a single-needle insertion electrochemical investigational CGM-IS (Pacific Diabetes Technologies, Portland, Oregon) in type 1 diabetes adults.

methodsFollowing 48 hours run-in using a Medtronic 780G in manual mode with a commercial insulin set, 12 participants commenced insulin delivery using the CGM-IS. A standardized test meal was eaten on the mornings of days 1 and 4. Venous samples were collected every 10 minutes one hour prior to and 15 minutes post-meal for four hours. CGM-IS glucose measurements were post-processed with a single capillary blood calibration during warm-up and benchmarked against YSI. A Dexcom G6 sensor was worn post-consent to study end.

resultsMean absolute relative difference (MARD) for the CGM-IS glucose measurements was 9.2% (484 paired data points). Consensus error grid revealed 88.6% within zone A and 100% in A + B. Mean (SD) % bias was -3.5 (11.7) %. There were 35 paired YSI readings <100 mg/dL cutoff and 449 ≥100 mg/dL with 81.4% within ±15 mg/dL or ±15%, and 89.9% within ±20 mg/dL or ±20%. Two cannula occlusions required discontinuation of insulin delivery: one at 70 hours post insertion and another during the day 4 meal test. Mean (SD) Dexcom glucose measurements during run-in and between meal tests was respectively 161.3 ± 27.3 mg/dL versus 158.0 ± 25.6 mg/dL;

conclusionsInsulin delivery and glucose sensing with the investigational CGM-IS was feasible. Longer duration studies are needed.

Indexed as

Blood GlucoseBlood Glucose Self-MonitoringDiabetes Mellitus, Type 1Feasibility StudiesHypoglycemic AgentsInsulinInsulin Infusion SystemsAdultCannulaFemaleHumansMaleMiddle AgedYoung AdultBlood GlucoseHypoglycemic AgentsInsulincontinuous glucose monitoringcontinuous glucose monitor-insulin setfeasibility studyinsulin cannula

Identifiers

PMID38491800
PMCPMC11535351
OpenAlexW4392882000

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.