Evidence map›Paper›PMID 26468135›Full record

Trial reportJournal of diabetes science and technology2015

Fluctuations of Hyperglycemia and Insulin Sensitivity Are Linked to Menstrual Cycle Phases in Women With T1D.

Sue A Brown, Boyi Jiang, Molly McElwee-Malloy, Christian Wakeman, Marc D Breton

Registry-linked trialAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Journal of diabetes science and technology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07278063 (Effect of Gender and Meal Composition on the Postprandial Glycemic Response in People With Type 1 Diabetes), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing 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.

NCT07278063 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effect of Gender and Meal Composition on the Postprandial Glycemic Response in People With Type 1 Diabetes: Impact of Fat Content and Menstrual Cycle Phases

TypeinterventionalSponsorInstituto de Investigacion Sanitaria La FeRan2026 to 2028Enrolled50ConditionsType 1 Diabetes Mellitus, Glycemic Variability, Sex Characteristics, Menstrual CycleArmsLow Fat Mixed Meal, High Fat Mixed Meal
3 · Its place in the literature

Who cites it

38 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Observational
  8. Women living with diabetes: Overlooked and under-recognised, the psychosocial impact.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Review
  9. Article
  10. Review
  11. Review
  12. The Future of Automated Insulin Delivery Systems.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Impact of Physiological Fluctuations of Sex Hormones During the Menstrual Cycle on Glucose Metabolism and the Gut Microbiota.Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association · 2024
    Review
  18. Article
  19. Article
  20. 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

5 authors.

Sue A BrownCenter for Diabetes Technology, University of Virginia, Charlottesville, VA, USA Division of Endocrinology, University of Virginia, Charlottesville, VA, USA sab2f@virginia.edu.
Boyi JiangCenter for Diabetes Technology, University of Virginia, Charlottesville, VA, USA.
Molly McElwee-MalloyDivision of Endocrinology, University of Virginia, Charlottesville, VA, USA.
Christian WakemanCenter for Diabetes Technology, University of Virginia, Charlottesville, VA, USA.
Marc D BretonCenter for Diabetes Technology, University of Virginia, Charlottesville, VA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFactors influencing glycemic variability in type 1 diabetes (T1D) may play a significant role in the refinement of closed loop insulin administration. Phase of menstrual cycle is one such factor that has been inadequately investigated. We propose that unique individual patterns can be constructed and used as parameters of closed loop systems.

methodWomen with T1D on continuous subcutaneous insulin infusion and continuous glucose monitoring were studied for 3 consecutive menstrual cycles. Ovulation prediction kits and labs were used to confirm phase of menstrual cycle. Glycemic risks were assessed using the low- and high blood glucose indices (LBGI and HBGI). Insulin sensitivity (SI) was estimated using a Kalman filtering method from meal and insulin data. Overall change significance for glycemic risks was assessed by repeated measures ANOVA, with specific phases emphasized using contrasts.

resultsOvulation was confirmed in 33/36 cycles studied in 12 subjects (age = 33.1 ± 7.0 years, BMI = 25.7 ± 2.9 kg/m(2), A1c = 6.8 ± 0.7%). Risk for hyperglycemia changed significantly during the cycle (P = .023), with HBGI increasing until early luteal phase and returning to initial levels thereafter. LBGI was steady in the follicular phase, decreasing thereafter but not significantly. SI was depressed during the luteal phase when compared to the early follicular phase (P ≤ .05). Total daily insulin, carbohydrates, or calories did not show any significant fluctuations.

conclusionsWomen with T1D have glycemic variability changes that are specific to the individual and are linked to phase of cycle. An increased risk of hyperglycemia was observed during periovulation and early luteal phases compared to the early follicular phase; these changes appear to be associated with decreased insulin sensitivity during the luteal phase.

Indexed as

AdultBiomarkersBlood GlucoseBlood Glucose Self-MonitoringDiabetes Mellitus, Type 1Equipment DesignFemaleHumansHypoglycemic AgentsInfusions, SubcutaneousInsulinInsulin Infusion SystemsInsulin ResistanceMenstrual CycleModels, BiologicalPancreas, ArtificialBiomarkersBlood GlucoseHypoglycemic AgentsInsulinartificial pancreasclosed loop controlcontinuous glucose monitoringinsulin pump therapymenstrual cycletype 1 diabetes

Identifiers

PMID26468135
PMCPMC4667305

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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 Socratic graph.