Evidence map›Paper›PMID 40566975›Full record

ArticleJournal of palliative medicine2026

Top Ten Tips Palliative Care Clinicians Should Know About Managing Diabetes at End-of-Life.

Rebekka DePew, Tonya Hershman, Monica Giles, William E Rosa, Kimberly Curseen

Abstract read
In one paragraph

Article in Journal of palliative medicine, 2026. 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. 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

5 authors.

Rebekka DePewDepartment of Family and Preventive Medicine, Division of Palliative and Supportive Care, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-0209-8481
Tonya HershmanDepartment of Family and Preventive Medicine, Division of Palliative and Supportive Care, Emory University, Atlanta, Georgia, USA.
Monica GilesDivision of Endocrinology, Department of Medicine, Emory University, Atlanta, Georgia, USA.
William E RosaDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0002-0680-8911
Kimberly CurseenDivision of Palliative and Supportive Care, Department of Family and Preventive Medicine, Emory University, Atlanta, Georgia, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI FRANCESCA M GANY · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Palliative care clinicians will regularly take care of patients with diabetes and play numerous roles in educating not only patients but also families and care partners regarding the changing balance of harms and benefits of blood glucose control as patients near end of life (EOL). There is limited evidence regarding the optimal timing and process for de-escalation of blood sugar monitoring and diabetes medications (including insulin) in the hospice and EOL setting. Rather, decisions are guided by prognosis, impacts of hypo- or hyperglycemia on a particular patient's symptoms, and the burdens of specific diabetes medications or interventions. Shared decision-making with patients and care partners is essential, as is addressing the emotional impact of changes to diabetes routines, which some patients have adhered to for many years. Diabetes also impacts overall symptom control at EOL. These ten tips guide palliative care clinicians to identify and address the impact of glycemic control, diabetes medications, and common long-term complications of diabetes on symptom burden.

Indexed as

Diabetes MellitusHospice and Palliative Care NursingPalliative CareTerminal CareAgedFemaleHumansHypoglycemic AgentsMaleHypoglycemic Agentsblood glucose goalsde-escalation of medication therapydiabetesend-of-life caremanaging diabetessymptom control

Identifiers

PMID40566975
PMCPMC13535604

What OpenQuestion holds

Textmetadata
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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.