Evidence map›Paper›PMID 42063297›Full record

ArticleJournal of diabetes science and technology2026

Imputation of Missing Continuous Glucose Monitor Data.

Alan Kuang, Yuanzhi Yu, Juned Siddique, Denise Scholtens

Abstract read
In one paragraph

Article 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. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Summarizing data from continuous glucose monitors using the cgmstats package.medRxiv : the preprint server for health sciences · 2026
    Article
  4. Article
  5. 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

4 authors.

Alan KuangDivision of Biostatistics & Informatics, Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Yuanzhi YuDivision of Biostatistics & Informatics, Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Juned SiddiqueDivision of Biostatistics & Informatics, Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Denise ScholtensDivision of Biostatistics & Informatics, Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID 0000-0002-8252-7863

Funding

Glycemic Profile of Pregnancy Consortium Biostatistics Research CenterU01DK123759 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SCHOLTENS, DENISE M · 2019 to 2025
$17.0M
Measuring Early Pregnancy Glycemia and Its Impact on Adverse OutcomesU01DK123795 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI POWE, CAMILLE ELISE · 2019 to 2024
$4.1M
Comparing Glycemic Profiles in Pregnancy and Maternal and Child Health OutcomesU01DK123783 · NIDDK · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI WERNER, ERIKA F · 2019 to 2024
$3.3M
ChartGlucose4Moms: Characterizing, by Trimester, Continuous Glucose Monitoring Measurements for determining effects on Maternal & Offspring Metabolic SequelaeU01DK123791 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI LEBLANC, ERIN S, VESCO, KIMBERLY KRISTINE · 2019 to 2024
$3.2M
eMOM: enhanced Monitoring to Optimize Maternal Diabetes detectionU01DK123799 · NIDDK · YALE UNIVERSITY · PI MERRIAM, AUDREY, SHERR, JENNIFER LYNN · 2019 to 2024
$3.1M
Glycemic Profiles and Pregnancy Outcomes Study (GLOSS)U01DK123745 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LOWE, WILLIAM L, YEE, LYNN M · 2019 to 2024
$2.9M
NIDDK NIH HHS U01 DK123745NIDDK NIH HHS U01 DK123759NIDDK NIH HHS U01 DK123783NIDDK NIH HHS U01 DK123791NIDDK NIH HHS U01 DK123795NIDDK NIH HHS U01 DK123799
6 · The paper itself

Abstract

backgroundContinuous glucose monitors (CGMs) in research and clinical settings characterize glycemic profiles through repeated measurement of interstitial glucose levels on the order of minutes. Missing values from devices are unavoidable. Data from the Glycemic Observation and Metabolic Outcomes in Mothers and Offspring (GO MOMs) study were used to investigate the impact of missing data on CGM summary metrics. Several imputation techniques were evaluated by comparing mean relative bias (MRB) between true and imputed CGM data for the summary metrics.

methodsWe used 105 CGM profiles with nine days of complete glucose measurements and introduced missing data strings using a zero-inflated negative binomial hurdle model. Overall missingness was introduced at 2% consistent with GO MOMs data and increased to 5%, 10%, and 20%. Imputation approaches included single, multiple, machine learning techniques, and hot-deck imputation, where missing values are replaced with the participant's observed values. Removing missing values prior to analysis (complete case analysis) was also evaluated.

resultsThe MRB is minimal across most metrics and imputation methods at overall 2% missing data and increases with higher missing data frequency, with trends depending on metric and imputation method. Hot-deck imputation and complete case analysis show consistently low MRB.

conclusionsMissing CGM data are to be expected. For periods of wear with up to 20% missing data, hot-deck imputation and complete case analysis may be acceptable if data are missing completely at random. Explored imputation techniques are robust, but each has their own limitations, which should be considered if these techniques are implemented.

Indexed as

Blood GlucoseBlood Glucose Self-MonitoringContinuous Glucose MonitoringFemaleHumansMachine LearningBlood Glucosecontinuous glucose monitoringhot-deck imputationmachine learningmissing datamultiple imputation

Identifiers

PMID42063297
PMCPMC11686493

What OpenQuestion holds

Textmetadata
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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.