Evidence map›Paper›PMID 38591074›Full record

ArticleWorld journal of diabetes2024

Evaluation of hybrid closed-loop insulin delivery system in type 1 diabetes in real-world clinical practice: One-year observational study.

Ahmed Eldib, Shilton Dhaver, Karim Kibaa, Astrid Atakov-Castillo, Tareq Salah, Marwa Al-Badri, Abdelrahman Khater, Ryan McCarragher, Omnia Elenani, Elena Toschi and 1 more

Abstract read
In one paragraph

Article in World journal of diabetes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. A Review of Real-World Evidence About the Use of Automated Insulin Delivery Systems in People With Type 1 Diabetes.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    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

11 authors.

Ahmed EldibDepartment of Clinical, Behavioral & Outcomes Research, Joslin Diabetes Center, Boston, MA 02215, United States.
Shilton DhaverDepartment of Clinical, Behavioral & Outcomes Research, Joslin Diabetes Center, Boston, MA 02215, United States.
Karim KibaaDepartment of Clinical, Behavioral & Outcomes Research, Joslin Diabetes Center, Boston, MA 02215, United States.
Astrid Atakov-CastilloDepartment of Clinical, Behavioral & Outcomes Research, Joslin Diabetes Center, Boston, MA 02215, United States.
Tareq SalahDepartment of Clinical, Behavioral & Outcomes Research, Joslin Diabetes Center, Boston, MA 02215, United States.
Marwa Al-BadriDepartment of Clinical, Behavioral & Outcomes Research, Joslin Diabetes Center, Boston, MA 02215, United States.
Abdelrahman KhaterDepartment of Clinical, Behavioral & Outcomes Research, Joslin Diabetes Center, Boston, MA 02215, United States.
Ryan McCarragherDepartment of Clinical, Behavioral & Outcomes Research, Joslin Diabetes Center, Boston, MA 02215, United States.
Omnia ElenaniDepartment of Clinical, Behavioral & Outcomes Research, Joslin Diabetes Center, Boston, MA 02215, United States.
Elena ToschiDepartment of Clinical, Behavioral & Outcomes Research, Joslin Diabetes Center, Boston, MA 02215, United States.
Osama HamdyDepartment of Clinical, Behavioral & Outcomes Research, Joslin Diabetes Center, Boston, MA 02215, United States.

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI ROHIT N. KULKARNI · 1986 to 2026
$50.5M
NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

backgroundIn 2016, the Food and Drug Administration approved the first hybrid closed-loop (HCL) insulin delivery system for adults with type 1 diabetes (T1D). There is limited information on the impact of using HCL systems on patient-reported outcomes (PROs) in patients with T1D in real-world clinical practice. In this independent study, we evaluated glycemic parameters and PROs over one year of continuous use of Medtronic's 670G HCL in real-world clinical practice.

aimTo assess the effects of hybrid closed loop system on glycemic control and quality of life in adults with T1D.

methodsWe evaluated 71 patients with T1D (mean age: 45.5 ± 12.1 years; 59% females; body weight: 83.8 ± 18.7 kg, body mass index: 28.7 ± 5.6 kg/m

resultsAt 12 mo, A1C decreased by 0.3% ± 0.1% (

conclusionThe use of HCL in real-world clinical practice for one year was associated with significant improvements in A1C, %TIR, physical functioning, hypoglycemia fear, emotional distress, and emotional burden related to diabetes management. However, these changes were not associated with time in auto mode.

Indexed as

Artificial pancreasContinuous blood glucose monitorHybrid closed-loop insulin deliveryQuality of lifeType 1 diabetes

Identifiers

PMID38591074
PMCPMC10999042

What OpenQuestion holds

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LicenceCC BY-NC
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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.