Evidence map›Paper›PMID 41109847›Full record

ReviewJournal of diabetes science and technology2026

Managing Hybrid Closed-Loop Insulin Delivery in Complex Clinical Scenarios: Focus on Perioperative, Dialysis, and Glucocorticoid Use.

Parizad Avari, Catherine Robinson, Lalantha Leelarathna, Hood Thabit

Abstract readReviewCase Reports
In one paragraph

Review in Journal of diabetes science and technology, 2026. 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

4 authors.

Parizad AvariDepartment of Diabetes and Endocrinology, Imperial College Healthcare NHS Trust, London, UK.ORCID 0000-0001-9047-3589
Catherine RobinsonDepartment of Anaesthesia, Manchester Royal Infirmary, Manchester, UK.
Lalantha LeelarathnaDepartment of Diabetes and Endocrinology, Imperial College Healthcare NHS Trust, London, UK.ORCID 0000-0001-9602-1962
Hood ThabitDiabetes, Endocrinology and Metabolism Centre, Manchester Royal Infirmary, Manchester, UK.ORCID 0000-0001-6076-6997

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hybrid closed-loop (HCL) systems have transformed outpatient diabetes management, yet their application in complex inpatient and hospital-based scenarios remains underexplored. This article examines the utilization of HCL systems in three challenging clinical contexts: the perioperative period, dialysis (hemodialysis and peritoneal dialysis), and during glucocorticoid therapy. Our article and case series examples provide an overview of the current available literature, preliminary data, and practical guidance for clinicians on HCL systems in these settings. Further research is urgently needed to establish the evidence base in this high-risk cohort.

Indexed as

Diabetes Mellitus, Type 1GlucocorticoidsHypoglycemic AgentsInsulinInsulin Infusion SystemsRenal DialysisBlood GlucoseFemaleHumansMaleMiddle AgedPerioperative CareBlood GlucoseGlucocorticoidsHypoglycemic AgentsInsulinautomated insulin deliverydiabetesdialysishybrid close loopinpatientperioperativesteroids

Identifiers

PMID41109847
PMCPMC13044409

What OpenQuestion holds

Textmetadata
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.