Evidence mapPaperPMID 39896947Full record

ArticleAACE clinical case reports

Digital Twin Technology in Resolving Polycystic Ovary Syndrome and Improving Metabolic Health: A Comprehensive Case Study.

Paramesh Shamanna, Anuj Maheshwari, Ashok Keshavamurthy, Sanjay Bhat, Abhijit Kulkarni, Shivakumar R, Kumar K, Mukulesh Gupta, Mohamed Thajudeen, Ranjita Kulkarni and 2 more

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In one paragraph

Article in AACE clinical case reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. [Application of Digital Nutrition Technologies in Adult Weight Management].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Article
  4. Article
  5. Article
  6. 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

12 authors.

Paramesh ShamannaBangalore Diabetes Centre, Bangalore, Karnataka, India.
Anuj MaheshwariShri Hari Kamal Diabetes and Heart Clinic, Lucknow, Uttar Pradesh, India.
Ashok KeshavamurthyChandana Clinic, Bangalore, Karnataka, India.
Sanjay BhatDepartment of Cardiology, Mukambika Heart Care, Bangalore, Karnataka, India.
Abhijit KulkarniDepartment of Cardiology, South End Speciality Clinics, Bangalore, Karnataka, India.
Shivakumar RBangalore Diabetes Centre, Bangalore, Karnataka, India.
Kumar KBangalore Diabetes Centre, Bangalore, Karnataka, India.
Mukulesh GuptaUdyaan Health Care, Lucknow, Uttar Pradesh, India.
Mohamed ThajudeenTwin Health, Mountain View, California.
Ranjita KulkarniTwin Health, Mountain View, California.
Shashikiran PatilTwin Health, Mountain View, California.
Shashank JoshiDepartment of Diabetology and Endocrinology, Lilavati Hospital and Research center, Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Clinical manifestations of polycystic ovary syndrome (PCOS) are heterogeneous, with hallmarks including anovulation, androgen excess, and insulin resistance. Case Report: A 38-year-old female with typical PCOS features presented with hypertension, obesity, and elevated fasting and postprandial insulin levels. She was enrolled in the Digital Twin (DT) platform, which uses artificial intelligence and Internet of Things to deliver personalized nutrition by predicting postprandial glucose responses and suggesting alternative foods with lower postprandial glucose response through a mobile app. After 360 days, significant improvements were observed. Weight decreased from 65.4 kg to 57.3 kg (-12.4%); body mass index lowered from 26.2 to 22.96 (-12.4%); Waist circumference reduced from 104 cm to 86.3 cm (-17.0%); clinic systolic blood pressure/diastolic blood pressure reduced from 144/93 to 102/80 mmHg (-29.17%/-13.98%); fasting insulin dropped from 27.6 to 15.5 μIU/mL (-43.8%); postprandial insulin decreased from 182.4 to 23.8 μIU/mL (-87.0%); Homeostatic Model Assessment of Insulin Resistance reduced from 6.47 to 3.48 (-46.2%); estimated glomerular filteration rate improved from 116 to 128 mL/min/1.73m2 (+10.3%); urine microalbumin creatinine ratio decreased from 596 to 73 mg/g (-87.8%). Ultrasound showed reduced ovarian volume and improved fatty liver infiltration, while computed tomography scan revealed significant reductions in epicardial (21.8%), pericardial (69.9%), and visceral fat (44.4%). Discussion: This case shows the effective use of DT technology for managing PCOS, significantly improving weight, body mass index, insulin, blood pressure, and lipid profile. It supports the potential of artificial intelligence-driven, personalized interventions in chronic disease management. Conclusion: This case highlights the potential of DT technology in managing PCOS, showing significant metabolic and reproductive improvements, suggesting promising future research directions.

Indexed as

Digital Twin technologyinsulin resistancemetabolic healthpersonalized medicinepolycystic ovary syndrome (PCOS)

Identifiers

PMID39896947
PMCPMC11784609

What Socratic holds

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Registered trials

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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.