Evidence map›Paper›PMID 38833007›Full record

Trial reportActa diabetologica2024

Effectiveness of the flash glucose monitoring system in preventing severe hypoglycemic episodes and in improving glucose metrics and quality of life in subjects with type 1 diabetes at high risk of acute diabetes complications.

Alessandra Dei Cas, Raffaella Aldigeri, Giulia Bellei, Davide Raffaeli, Paolo Di Bartolo, Alessandra Sforza, Giulio Marchesini, Anna Vittoria Ciardullo, Valeria Manicardi, Maurizio Bianco and 8 more

Registry-linked trialAbstract readMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in Acta diabetologica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04060732 (Feasibility and Safety of "Flash Glucose Monitoring-FGM" in an Adult and Selected Pediatric Population.), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT04060732 completednot on this map

Feasibility and Safety of "Flash Glucose Monitoring-FGM" in an Adult and Selected Pediatric Population.

TypeobservationalSponsorAzienda Ospedaliero-Universitaria di ParmaRan2017 to 2020Enrolled350ConditionsDiabetes Mellitus, Type 1ArmsFlash Glucose Monitoring-FGM
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Alessandra Dei CasDepartment of Medicine and Surgery, Division of Nutritional and Metabolic Sciences, Azienda Ospedaliero-Universitaria di Parma, Via Gramsci 14, 43126, Parma, Italy. alessandra.deicas@unipr.it.ORCID http://orcid.org/0000-0002-8666-4849
Raffaella AldigeriDepartment of Medicine and Surgery, Università di Parma, Parma, Italy.
Giulia BelleiDepartment of Medicine and Surgery, Division of Nutritional and Metabolic Sciences, Azienda Ospedaliero-Universitaria di Parma, Via Gramsci 14, 43126, Parma, Italy.
Davide RaffaeliDepartment of Medicine and Surgery, Division of Nutritional and Metabolic Sciences, Azienda Ospedaliero-Universitaria di Parma, Via Gramsci 14, 43126, Parma, Italy.
Paolo Di BartoloDiabetes Unit, Azienda Unità Sanitaria Locale (AUSL) Romagna, Ravenna, Italy.
Alessandra SforzaEndocrinology Unit, Azienda AUSL Bologna, Bologna, Italy.
Giulio MarchesiniIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Anna Vittoria CiardulloUnit of Internal Medicine-Diabetology, Azienda USL Modena, Modena, Italy.
Valeria ManicardiDiabetes Clinic, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Maurizio BiancoAzienda Unità Sanitaria Locale (AUSL) Piacenza, Piacenza, Italy.
Marcello MonesiPrimary Care Department, Diabetes Unit, Ferrara '''Sant'Anna" Hospital, Ferrara, Italy.
Anna VacircaAzienda Unità Sanitaria Locale (AUSL) Imola, Imola, Italy.
Maria Cristina CimicchiAzienda Unità Sanitaria Locale (AUSL) Parma, Parma, Italy.
Paola Anna SordilloDiabetes Unit, Azienda Unità Sanitaria Locale (AUSL) Romagna, Ravenna, Italy.
Mattia AltiniHospital Care Sector Manager, Direzione Generale Cura della Persona, Salute e Welfare, Bologna, Italy.
Federica FantuzziDepartment of Medicine and Surgery, Università di Parma, Parma, Italy.
Riccardo C BonadonnaDepartment of Medicine and Surgery, Università di Parma, Parma, Italy.
Flash-glucose monitoring Emilia Romagna Regional network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo assess the effectiveness of the intermittent-scanned continuous glucose monitoring (isCGM) system in preventing severe hypoglycemic episodes and in improving glucose parameters and quality of life.

methodsFour hundred T1D individuals were enrolled in a prospective real-word study with an intermittently scanned continuous glucose monitoring device during the 12-months follow-up. The primary endpoint was the incidence of severe hypoglycemic events.

results82% of subjects were naïve to the use of the device (group A) and 18% were already wearing the system (group B). The cumulative incidence of severe hypoglycemia (SH) at 12 months was 12.06 per 100 person-year (95% CI: 8.35-16.85) in group A and 10.14 (95% CI: 4.08-20.90) in group B without inter-group differences. In group A there was a significant decrease in SH at 12 months compared to 3 months period (p = 0.005). Time in glucose range significantly increased in both groups accompanied with a significant decrease in glucose variability. HbA1c showed a progressive significant time-dependent decrease in group A. The use of the device significantly improved the perceived quality of life.

conclusionThis study confirmed the effectiveness of the isCGM in reducing hypoglycemic risk without glucose deterioration, with potential benefits on adverse outcomes in T1D individuals.

trial registrationClinicalTrials.gov registration no. NCT04060732.

Indexed as

Blood GlucoseBlood Glucose Self-MonitoringDiabetes Mellitus, Type 1HypoglycemiaAdolescentAdultDiabetes ComplicationsFemaleGlycated HemoglobinHumansHypoglycemic AgentsMaleMiddle AgedProspective StudiesQuality of LifeYoung AdultBlood GlucoseGlycated HemoglobinHypoglycemic AgentsIntermittent-scanned continuous blood glucose monitoringSevere hypoglycemiaType 1 diabetes

Identifiers

PMID38833007
PMCPMC11379770

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Registered trials

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.