Evidence map›Paper›PMID 39868600›Full record

Trial reportDiabetes, obesity & metabolism2025

Postprandial time in tight range with faster insulin aspart compared with standard insulin aspart in youth with type 1 diabetes using automated insulin delivery.

Klemen Dovč, Charles Spanbauer, Eleonora Chiarle, Natasa Bratina, Elke Fröhlich-Reiterer, Nejka Potočnik, Dessi P Zaharieva, Tim Hropot, Maria Fritsch, Peter Calhoun and 1 more

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. 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

11 authors.

Klemen DovčDepartment of Endocrinology, Diabetes and Metabolism, University Children's Hospital, Ljubljana, Slovenia.ORCID 0000-0001-9201-2145
Charles SpanbauerJaeb Center for Health Research, Tampa, Florida, USA.
Eleonora ChiarleDivision of Pediatrics, Department of Health Sciences, University of Piemonte Orientale, Novara, Italy.
Natasa BratinaDepartment of Endocrinology, Diabetes and Metabolism, University Children's Hospital, Ljubljana, Slovenia.
Elke Fröhlich-ReitererDepartment of Paediatrics and Adolescent Medicine, Medical University Graz, Graz, Austria.
Nejka PotočnikFaculty of Medicine, Institute of Physiology, University of Ljubljana, Ljubljana, Slovenia.
Dessi P ZaharievaDivision of Endocrinology, Department of Pediatrics, Stanford University, Stanford, California, USA.
Tim HropotDepartment of Endocrinology, Diabetes and Metabolism, University Children's Hospital, Ljubljana, Slovenia.
Maria FritschDepartment of Paediatrics and Adolescent Medicine, Medical University Graz, Graz, Austria.
Peter CalhounJaeb Center for Health Research, Tampa, Florida, USA.ORCID 0000-0002-5325-7200
Tadej BattelinoDepartment of Endocrinology, Diabetes and Metabolism, University Children's Hospital, Ljubljana, Slovenia.ORCID 0000-0002-0273-4732

Funding

Medtronic Research ERP-2019-11 958University Medical Centre Ljubljana Research and Development 20210205University of Ljubljana
6 · The paper itself

Abstract

aimsThe aim of this study was to assess postprandial glycaemic outcomes using automated insulin delivery with faster acting insulin aspart (FIA) or standard insulin aspart (SIA) over 4 weeks in youth (aged 10-18 years) with type 1 diabetes. MATERIALS AND

methodsWe undertook a secondary analysis of postprandial glycaemic outcomes from a double-blind, randomised, crossover study comparing FIA to SIA using an investigational version of MiniMed™ 780G. Endpoints included postprandial time in tight range (70-140 mg/dL; TITR), postprandial glucose excursions and peak glucose, and incremental area under curve (iAUC).

resultsThe mean ± SD age of 30 included participants was 15.0 ± 1.7 years, 47% were male, mean HbA1c was 7.5% ± 0.9% (58 ± 9.8 mmol/mol) and the number of meals per day per participant was 3.2 ± 1.2 meals. Overall, the postprandial outcomes were improved with FIA compared with SIA. Mean glucose at the start of the meal was 151 mg/dL in the FIA group and reached a peak glucose of 194 mg/dL, compared with starting level of 151 mg/dL in the SIA group and a peak of 198 mg/dL (difference in excursion: -3.8 mg/dL; 95% confidence interval -5.8 to -1.7; p <0.001). FIA group also had a 1.9% increase in mean TITR (p = 0.02) and a 2.0-mg/dL decrease in mean iAUC (p = 0.003). Differences in outcomes were the most noticeable for breakfast, meals with a larger amount of carbohydrates (>45 g) and participants with lower insulin-to-carbohydrate ratios.

conclusionsFaster insulin formulation with AID improved postprandial glycaemic outcomes and could be a useful therapeutical option in youth with type 1 diabetes that have challenges achieving glycaemic targets.

Indexed as

Diabetes Mellitus, Type 1Hypoglycemic AgentsInsulin AspartPostprandial PeriodAdolescentBlood GlucoseChildCross-Over StudiesDouble-Blind MethodFemaleGlycated HemoglobinGlycemic ControlHumansInsulin Infusion SystemsMaleBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulin Aspartcontinuous glucose monitoring (CGM)glycaemic controlinsulin therapytype 1 diabetes

Identifiers

PMID39868600
PMCPMC11885092

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.