Evidence map›Paper›PMID 41472376›Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2026

User evaluation of the Hypo-METRICS app: A tool for real-time symptom reporting of hypoglycaemia.

Monika Cigler, Uffe Søholm, Melanie Broadley, François Pouwer, Evertine J Abbink, Namam Ali, Bastiaan E de Galan, Eric Renard, Mark Evans, Julie Maria Bøggild Brøsen and 10 more

Abstract read
In one paragraph

Article in Diabetic medicine : a journal of the British Diabetic Association, 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. User evaluation of the Hypo-METRICS app: A tool for real-time symptom reporting of hypoglycaemia.Diabetic medicine : a journal of the British Diabetic Association · 2026
    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

20 authors.

Monika CiglerDivision of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID https://orcid.org/0000-0001-5827-7991
Uffe SøholmDepartment of Psychology, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0003-0848-9421
Melanie BroadleyDepartment of Psychology, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0003-4408-6304
François PouwerDepartment of Psychology, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0002-8172-9818
Evertine J AbbinkDepartment of Internal Medicine of Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID https://orcid.org/0009-0006-5424-3704
Namam AliDepartment of Internal Medicine of Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0003-4302-7820
Bastiaan E de GalanDepartment of Internal Medicine of Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0002-1255-7741
Eric RenardMontpellier University Hospital, Montpellier, France.ORCID https://orcid.org/0000-0002-3407-7263
Mark EvansInstitute of Metabolic Science and Department of Medicine, University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0001-8122-8987
Julie Maria Bøggild BrøsenDepartment of Endocrinology and Nephrology, Copenhagen University Hospital-North Zealand, Hillerød, Denmark.ORCID https://orcid.org/0000-0001-7361-4407
Ulrik Pedersen-BjergaardDepartment of Endocrinology and Nephrology, Copenhagen University Hospital, Hillerød, Denmark.ORCID https://orcid.org/0000-0003-0588-4880
Rory J Mc CrimmonSchool of Medicine, Ninewells Hospital, University of Dundee, Dundee, UK.ORCID https://orcid.org/0000-0002-3957-1981
Simon HellerDivision of Clinical Medicine, School of Medicine and Public Health, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0002-2425-9565
Sharon CauntAcademic Directorate of Diabetes and Endocrinology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.ORCID https://orcid.org/0000-0003-1479-8861
Stephanie A AmielDepartment of Diabetes, Faculty of Life Sciences and Medicine, King's College London, London, UK.ORCID https://orcid.org/0000-0003-2686-5531
Patrick DivillySt. Vincent's University Hospital, Dublin, University College Dublin, Dublin 4, Ireland.ORCID https://orcid.org/0000-0001-6916-3164
Natalie ZarembaDiabetes Research Centre, University of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0002-1720-1621
Pratik ChoudharyDiabetes Research Centre, University of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0001-7635-4735
Julia K MaderDivision of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID https://orcid.org/0000-0001-7854-4233
Hypo‐RESOLVE consortium

Funding

EFPIAEU Horizon 2020Grant agreement 777460Innovative Medicines Initiative 2
6 · The paper itself

Abstract

aimsHypoglycaemia remains a barrier to optimal diabetes management, with few tools for capturing real-time person-reported hypoglycaemia (PRH). This study evaluated the Hypo-METRICS app, originally developed for a multinational 10-week prospective study of hypoglycaemia. It enables real-time reporting of hypoglycaemic episodes and their impact on daily functioning using Ecological Momentary Assessment (EMA), thereby overcoming limitations of retrospective self reports.

methodsAfter completing the Hypo-METRICS study, 120 participants with type 1 diabetes mellitus (T1D) or type 2 diabetes mellitus (T2D) from Austria, Denmark, the Netherlands, and the United Kingdom were invited to complete a web-based questionnaire assessing app content, functionality, intervention effects, user engagement and the influence of the Covid-19 pandemic.

resultsNinety-six participants (80%; 29 T1D, 67 T2D) completed the questionnaire (40% women; mean age 57.2 ± 16.1 years; 26% impaired hypoglycaemia awareness; HbA1c 60 ± 13 mmol/mol (7.6 ± 1.1%); diabetes duration 20.4 ± 11.3 years). App content and functionality were rated highly (>8/10 and >7/10, respectively). Some reported declining engagement, likely due to study length. COVID-19 had a minimal impact on app use.

conclusionsThe Hypo-METRICS app was well accepted, with strong ratings for usability and functionality. Given its unique strengths, the app has the potential to become an essential instrument for researchers aiming to capture the real-world burden and impact of hypoglycaemia.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2HypoglycemiaMobile ApplicationsAdultAgedAustriaCOVID-19Ecological Momentary AssessmentFemaleHumansHypoglycemic AgentsMaleMiddle AgedNetherlandsProspective StudiesHypoglycemic AgentsappCGMcontinuous glucose monitoringdiabetesdiabetes managementhypoglycaemiaHypo‐METRICS

Identifiers

PMID41472376
PMCPMC12900495

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.