Evidence map›Paper›PMID 39564967›Full record

ArticleJournal of clinical research in pediatric endocrinology2025

Is Automated Insulin Delivery System Therapy Safe and Effective in Children Under Seven Years Old?

Nihal Gül Uslu, Deniz Özalp Kızılay, Günay Demir, Yasemin Atik Altınok, Şükran Darcan, Samim Özen, Damla Gökşen

Abstract read
In one paragraph

Article in Journal of clinical research in pediatric endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

7 authors.

Nihal Gül UsluEge University Faculty of Medicine, Department of Pediatrics, Clinic of Pediatric Endocrinology, İzmir, TürkiyeORCID 0009-0003-9091-4032
Deniz Özalp KızılayEge University Faculty of Medicine, Department of Pediatrics, Clinic of Pediatric Endocrinology, İzmir, TürkiyeORCID 0000-0003-4529-4404
Günay DemirEge University Faculty of Medicine, Department of Pediatrics, Clinic of Pediatric Endocrinology, İzmir, TürkiyeORCID 0000-0003-1468-1647
Yasemin Atik AltınokEge University Faculty of Medicine, Department of Pediatrics, Clinic of Pediatric Endocrinology, İzmir, TürkiyeORCID 0000-0001-5851-1012
Şükran DarcanEge University Faculty of Medicine, Department of Pediatrics, Clinic of Pediatric Endocrinology, İzmir, TürkiyeORCID 0000-0002-1330-6397
Samim ÖzenEge University Faculty of Medicine, Department of Pediatrics, Clinic of Pediatric Endocrinology, İzmir, TürkiyeORCID 0000-0001-7037-2713
Damla GökşenEge University Faculty of Medicine, Department of Pediatrics, Clinic of Pediatric Endocrinology, İzmir, TürkiyeORCID 0000-0001-6108-0591

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the off-label use of the MiniMed™ 780G system in children under seven years old, as clinical outcomes in this age group are less well-established, despite the improvements in glycemic control seen with MiniMed™ 780G therapy. Methods: Children under seven years old with type 1 diabetes using MiniMed™ 780G pump therapy were compared with children of similar age and gender using MiniMed™ 640G insulin pump therapy and multiple-dose insulin therapy with continuous glucose monitoring systems (CGMs). CGM metrics, total daily insulin (TDI) dose, and hemoglobin A1c (HbA1c) levels were evaluated retrospectively at baseline and at the 3 Results: At the initiation of MiniMed™ 780G therapy, the mean age was 5.25±1.22 years (range: 2.8-6.8 years), and the mean TDI was 10.12±4.34 U/day (range: 4.5-17.0 U/day). The glucose management indicator and HbA1c remained lower in the MiniMed™ 780G group at the 3 Conclusion: The absence of significantly higher levels of hypoglycemia compared to other groups at any time point, along with a significant decrease in TAR across all time points, a significant increase in TIR at the 3

Indexed as

Diabetes Mellitus, Type 1Hypoglycemic AgentsInsulinInsulin Infusion SystemsBlood GlucoseBlood Glucose Self-MonitoringChildChild, PreschoolFemaleGlycated HemoglobinHumansMaleRetrospective StudiesTreatment OutcomeBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulinAutomated delivery systemdiabetesdiabetes mellitusendocrinologypredictive low glucose suspension

Identifiers

PMID39564967
PMCPMC12118325

What Socratic holds

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LicenceCC BY-NC-ND
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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.