Evidence map›Paper›PMID 38390855›Full record

ArticleJournal of diabetes science and technology2024

Design and

Gavin Young, Robert Dodier, Joseph El Youssef, Jessica R Castle, Leah Wilson, Michael C Riddell, Peter G Jacobs

Open access · greenAbstract read
In one paragraph

Article in Journal of diabetes science and technology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Human digital twins in women's health nursing.Women's health nursing (Seoul, Korea) · 2026
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Metabolic Models, in Silico Trials, and Algorithms.Diabetes technology & therapeutics · 2025
    Review
  13. Review
  14. Review
  15. Metabolic Models, in Silico Trials, and Algorithms.Journal of diabetes science and technology · 2025
    Review
  16. Review
  17. Review
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

7 authors at 2 institutions in 2 countries.

Gavin YoungSchool of Medicine, Oregon Health & Science University, Portland, OR, USA.
Robert DodierArtificial Intelligence for Medical Systems Lab, Department of Biomedical Engineering, Oregon Health & Science University, Portland, OR, USA.
Joseph El YoussefHarold Schnitzer Diabetes Health Center, Division of Endocrinology, Oregon Health & Science University, Portland, OR, USA.
Jessica R CastleHarold Schnitzer Diabetes Health Center, Division of Endocrinology, Oregon Health & Science University, Portland, OR, USA.ORCID 0000-0003-1179-5374
Leah WilsonHarold Schnitzer Diabetes Health Center, Division of Endocrinology, Oregon Health & Science University, Portland, OR, USA.ORCID 0000-0003-3634-481X
Michael C RiddellSchool of Kinesiology & Health Science and The Muscle Health Research Centre, York University, Toronto, ON, Canada.ORCID 0000-0001-6556-7559
Peter G JacobsArtificial Intelligence for Medical Systems Lab, Department of Biomedical Engineering, Oregon Health & Science University, Portland, OR, USA.ORCID 0000-0001-9897-4783
Oregon Health & Science University · USYork University · CA

Funding

Leveraging Big Data and Deep Learning to Develop Next Generation Decision Support Tools to Improve Glycemic Outcomes in Type 1 DiabetesF30DK128914 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI YOUNG, GAVIN · 2021 to 2024
$209k
NIDDK NIH HHS F30 DK128914
6 · The paper itself

Abstract

backgroundManaging glucose levels during exercise is challenging for individuals with type 1 diabetes (T1D) since multiple factors including activity type, duration, intensity and other factors must be considered. Current decision support tools lack personalized recommendations and fail to distinguish between aerobic and resistance exercise. We propose an exercise-aware decision support system (exDSS) that uses digital twins to deliver personalized recommendations to help people with T1D maintain safe glucose levels (70-180 mg/dL) and avoid low glucose (<70 mg/dL) during and after exercise.

methodsWe evaluated exDSS using various exercise and meal scenarios recorded from a large, free-living study of aerobic and resistance exercise. The model inputs were heart rate, insulin, and meal data. Glucose responses were simulated during and after 30-minute exercise sessions (676 aerobic, 631 resistance) from 247 participants. Glucose outcomes were compared when participants followed exDSS recommendations, clinical guidelines, or did not modify behavior (no intervention).

resultsexDSS significantly improved mean time in range for aerobic (80.2% to 92.3%,

conclusionsThe exDSS tool significantly improved glucose outcomes during and after exercise versus following clinical guidelines and no intervention providing motivation for clinical evaluation of the exDSS system.

Indexed as

Diabetes Mellitus, Type 1AwarenessExerciseExercise TherapyGlucoseHumansGlucoseautomated insulin deliverydecision supportexercisetype 1 diabetes

Identifiers

PMID38390855
PMCPMC10973845
OpenAlexW4392121160

What Socratic holds

Textmetadata
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 Socratic graph.