Evidence map›Paper›PMID 39665255›Full record

ArticleJournal of diabetes investigation2025

Use of automated insulin delivery during major surgery in patients with type 1 diabetes: Two case reports.

Julia Stadnik, Sebastian Seget, Mateusz Tarasiewicz, Przemysława Jarosz-Chobot, Karolina Piątek, Maria Dróżdż, Agnieszka Czarniecka, Tomasz Koszutski, Anna Walęza-Widuch, Krzysztof Olejnik and 1 more

Abstract readCase Reports
In one paragraph

Article in Journal of diabetes investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

11 authors.

Julia StadnikDepartment of Children's Diabetology and Lifestyle Medicine, Medical University of Silesia, Katowice, Poland.ORCID https://orcid.org/0000-0002-0236-9122
Sebastian SegetDepartment of Children's Diabetology and Lifestyle Medicine, Medical University of Silesia, Katowice, Poland.ORCID https://orcid.org/0000-0002-1917-6351
Mateusz TarasiewiczDepartment of Children's Diabetology and Lifestyle Medicine, Medical University of Silesia, Katowice, Poland.
Przemysława Jarosz-ChobotDepartment of Children's Diabetology and Lifestyle Medicine, Medical University of Silesia, Katowice, Poland.
Karolina PiątekEuropean Diabetes Clinic Foundation, Dąbrowa Górnicza, Poland.
Maria DróżdżDepartment of Anesthesiology, University Clinical Center in Katowice, Katowice, Poland.
Agnieszka CzarnieckaOncological and Reconstructive Surgery Clinic, Maria Sklodowska-Curie National Research Institute of Oncology Gliwice Branch, Gliwice, Poland.
Tomasz KoszutskiDepartment of Pediatric Surgery, Medical University of Silesia, Katowice, Poland.
Anna Walęza-WiduchDepartment of Pediatric Surgery, Medical University of Silesia, Katowice, Poland.
Krzysztof OlejnikDepartment of Anesthesiology and Intensive Therapy, Maria Sklodowska-Curie National Research Institute of Oncology Gliwice Branch, Gliwice, Poland.
Bogdan NowińskiDepartment of Anesthesiology and Intensive Therapy, Maria Sklodowska-Curie National Research Institute of Oncology Gliwice Branch, Gliwice, Poland.

Funding

Medical University of Silesia in Katowice
6 · The paper itself

Abstract

With the rapid advancement of diabetes technology, the number of patients with type 1 diabetes (T1D) using automated insulin delivery (AID) systems is increasing, making the presence of such patients in the perioperative period more common. This study presents two cases of T1D patients who underwent thyroidectomy while using AID, following a protocol designed in collaboration with the diabetology, anesthesiology, and surgical teams. Two female patients, aged 12 and 33 years, both using AID systems, were admitted for elective thyroidectomy. Glycemic metrics prior to surgery indicated good glycemic control, leading to the decision to continue AID during the procedures. The use of AID enabled safe surgical performance with satisfactory glycemic control. In one case, a continuous glucose monitoring (CGM) sensor disruption likely resulted from acetaminophen distribution and/or sensor's proximity to the surgical field. This report highlights the need for standardized guidelines regarding the use of AID in the perioperative period.

Indexed as

Diabetes Mellitus, Type 1Hypoglycemic AgentsInsulinInsulin Infusion SystemsThyroidectomyAdultBlood GlucoseBlood Glucose Self-MonitoringChildFemaleHumansBlood GlucoseHypoglycemic AgentsInsulinautomated insulin delivery (AID)hybrid closed‐loop systems (HCL systems)major surgerytype 1 diabetes (T1D)

Identifiers

PMID39665255
PMCPMC11970286

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Registered trials

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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.