Evidence map›Paper›PMID 28426239›Full record

Trial reportDiabetes technology & therapeutics2017

Performance of an Artificial Pancreas System for Young Children with Type 1 Diabetes.

Mark D DeBoer, Marc D Breton, Christian Wakeman, Elaine M Schertz, Emma G Emory, Jessica L Robic, Laura L Kollar, Boris P Kovatchev, Daniel R Cherñavvsky

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Diabetes technology & therapeutics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% of its field
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.

NCT02750267 nacompletednot on this map

Closed-Loop Control in Young Children 5-8 Years Old Using DiAs Platform

TypeinterventionalSponsorUniversity of VirginiaRan2016 to 2016Enrolled12ConditionsDiabetes Mellitus, Type 1ArmsDiabetes Assistant (DiAs) with Closed-Loop
NCT04612257 naterminatednot on this mapstarted 2019, after this paper: background citation

A Pilot Study to Assess Closed-loop Insulin Delivery to Regulate Glucose Levels in Children With Type 1 Diabetes in Outpatient Free-living Settings.

TypeinterventionalSponsorMcGill UniversityRan2019 to 2022Enrolled10ConditionsDiabetes Mellitus, Type 1ArmsInsulin-alone closed-loop
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Early Stages of Automated Insulin Delivery.Journal of diabetes science and technology · 2025
    Review
  8. Early Stages of Automated Insulin Delivery.Diabetes technology & therapeutics · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Artificial Pancreas in Young Children.Diabetes technology & therapeutics · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Mark D DeBoer1 Center for Diabetes Technology, University of Virginia , Charlottesville, Virginia.
Marc D Breton1 Center for Diabetes Technology, University of Virginia , Charlottesville, Virginia.
Christian Wakeman1 Center for Diabetes Technology, University of Virginia , Charlottesville, Virginia.
Elaine M Schertz1 Center for Diabetes Technology, University of Virginia , Charlottesville, Virginia.
Emma G Emory1 Center for Diabetes Technology, University of Virginia , Charlottesville, Virginia.
Jessica L Robic1 Center for Diabetes Technology, University of Virginia , Charlottesville, Virginia.
Laura L Kollar1 Center for Diabetes Technology, University of Virginia , Charlottesville, Virginia.
Boris P Kovatchev1 Center for Diabetes Technology, University of Virginia , Charlottesville, Virginia.
Daniel R Cherñavvsky1 Center for Diabetes Technology, University of Virginia , Charlottesville, Virginia.
University of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundYoung children 5-8 years old with type 1 diabetes (T1D) exhibit clear needs for improved glycemic control but may be limited in their ability to safely interact with an artificial pancreas system. Our goal was to evaluate the safety and performance of an artificial pancreas (AP) system among young children with T1D. RESEARCH DESIGN AND

methodsIn a randomized, crossover trial, children with T1D age 5-8 years were enrolled to receive on separate study periods (in random order) either the UVa AP using the DiAs Control Platform software with child-resistant lock-out screens (followed as an out-patient admission) or their usual insulin pump+continuous glucose monitor (CGM) care at home. Hypoglycemic events and CGM tracings were compared between the two 68-h study periods. All analyses were adjusted for level of physical activity as tracked using Fitbit devices.

resultsTwelve participants (median age 7 years, n = 6 males) completed the trial. Compared to home care, the AP admission resulted in increased time with blood glucose (BG) 70-180 mg/dL (73% vs. 47%) and lower mean BG (152 mg/dL vs. 190 mg/dL), both P < 0.001 after adjustment for activity. Occurrence of hypoglycemia was similar between sessions without differences in time <70 mg/dL (AP 1.1% ± 1.1%; home 1.6% ± 1.2%). There were no adverse events during the AP or home study periods.

conclusionsUse of an AP in young children was safe and resulted in improved mean BG without increased hypoglycemia. This suggests that AP use in young children is safe and improves overall diabetes control. ClinicalTrials.gov registration number: NCT02750267.

Indexed as

Pancreas, ArtificialActivities of Daily LivingBlood GlucoseChildChild BehaviorChild, PreschoolComputer SecurityCross-Over StudiesDiabetes Mellitus, Type 1ExerciseFeasibility StudiesFemaleFitness TrackersHospitals, UniversityHumansHyperglycemiaBlood GlucoseArtificial pancreasChildrenClosed-loop controlGlycemic controlType 1 diabetes

Identifiers

PMID28426239
OpenAlexW2610272850

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.