Evidence mapPaperPMID 33725276Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2021

A "Slide Rule" to Adjust Insulin Dose Using Trend Arrows in Adults with Type 1 Diabetes: Test in Silico and in Real Life.

Daniela Bruttomesso, Federico Boscari, Giuseppe Lepore, Giulia Noaro, Giacomo Cappon, Angela Girelli, Lutgarda Bozzetto, Andrea Tumminia, Giorgio Grassi, Giovanni Sparacino and 2 more

Open access · goldAbstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 19% 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.

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

8 citing papers in PubMed, 13 citations in OpenAlex.

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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

12 authors at 7 institutions in 1 country.

Daniela BruttomessoUnit of Metabolic Diseases, Department of Medicine, University of Padova, Padova, Italy. daniela.bruttomesso@unipd.it.ORCID http://orcid.org/0000-0002-2426-8955
Federico BoscariUnit of Metabolic Diseases, Department of Medicine, University of Padova, Padova, Italy.
Giuseppe LeporeUnit of Endocrine Diseases and Diabetology, ASST Papa Giovanni XXIII, Bergamo, Italy.
Giulia NoaroDepartment of Information Engineering, University of Padova, Padova, Italy.
Giacomo CapponDepartment of Information Engineering, University of Padova, Padova, Italy.
Angela GirelliU.O. Diabetologia ASST Spedali Civili, Brescia, Italy.
Lutgarda BozzettoDepartment of Clinical Medicine and Surgery, Federico II University, Napoli, Italy.
Andrea TumminiaEndocrinology, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Giorgio GrassiDepartment of Endocrinology, Diabetology, and Metabolism, Città della Salute e della Scienza University Hospital, Torino, Italy.
Giovanni SparacinoDepartment of Information Engineering, University of Padova, Padova, Italy.
Luigi LaviolaSection of Internal Medicine, Endocrinology, Andrology and Metabolic Diseases, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy.
Andrea FacchinettiDepartment of Information Engineering, University of Padova, Padova, Italy.
University of Padua · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITFederico II University Hospital · ITOspedale Papa Giovanni XXIII · ITUniversity of Bari Aldo Moro · ITUniversity of Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn persons with type 1 diabetes (T1D) insulin dosing can be adjusted based on trend arrows derived from continuous glucose monitoring (CGM). We propose a slide rule with narrower blood glucose intervals and more classes of insulin sensitivity than are available in current models.

methodsThe slide rule was tested in silico, in which a meal was simulated in 100 virtual subjects and the insulin bolus was calculated either in the standard way based on the insulin-to-carbohydrate ratio and the correction factor or according to the slide rule, following which the percentage time spent in range (70-180 mg/dl; %T

resultsIn silico, when the preprandial trend arrow was increasing, our slide rule reduced %T

conclusionThe proposed slide rule performed well both in silico and in real life, suggesting that it could be safely adopted by individuals with T1D to improve glucose control.

Indexed as

Continuous glucose monitoringInsulin dose adjustmentSlide ruleTrend arrowsType 1 diabetes

Identifiers

PMID33725276
PMCPMC8099956
OpenAlexW3137391156

What Socratic holds

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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 Socratic graph.