Evidence map›Paper›PMID 40074249›Full record

ArticleBMJ open quality2025

Targeting insulin stacking to address overnight hypoglycaemia in hospitalised patients with diabetes.

Priyanka Moolchandani, Satya Patel, Tyler Larsen, Christopher Moriates, Jane Weinreb, Estelle Everett

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open quality, 2025. 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
–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

1 citing paper in PubMed.

  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

6 authors.

Priyanka MoolchandaniMedicine, University of California Los Angeles, Los Angeles, California, USA pmoolchandani@mednet.ucla.edu.ORCID http://orcid.org/0000-0001-6469-9197
Satya PatelMedicine, University of California Los Angeles, Los Angeles, California, USA.
Tyler LarsenMedicine, University of California Los Angeles, Los Angeles, California, USA.
Christopher MoriatesMedicine, University of California Los Angeles, Los Angeles, California, USA.
Jane WeinrebMedicine, University of California Los Angeles, Los Angeles, California, USA.
Estelle EverettMedicine, University of California Los Angeles, Los Angeles, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inpatient hypoglycaemia is a significant concern in patients with diabetes due to its association with increased mortality. At the Veterans Affairs Greater Los Angeles Healthcare System, we developed a project to reduce overnight hypoglycaemia in hospitalised patients with diabetes by addressing insulin stacking, defined as insulin dosed within 4 hours of each other. By delaying the timing of bedtime correctional insulin administration in the electronic health record, we achieved a 28% reduction in the proportion of patients experiencing insulin stacking after one year. This led to significant decreases in overnight hypoglycaemia.

Indexed as

Diabetes MellitusHypoglycemiaInsulinAgedFemaleHospitalizationHumansHypoglycemic AgentsLos AngelesMaleMiddle AgedHypoglycemic AgentsInsulinDIABETES MELLITUSQuality improvementQuality improvement methodologies

Identifiers

PMID40074249
PMCPMC11907008

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.