Evidence map›Paper›PMID 39945888›Full record

ArticleActa diabetologica2025

Case series of a hybrid closed loop therapy system used in pregnancy.

Trinity L Brigham, Matthew P Klein, Janet K Snell-Bergeon, Sarit Polsky

Abstract read
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Article in Acta diabetologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Optimizing Automated Insulin Delivery Systems for Pregnancy.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  2. Automated Insulin Delivery for Type 1 Diabetes: Present and Future.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    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

4 authors.

Trinity L BrighamSchool of Public and Population Health, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.ORCID http://orcid.org/0000-0002-9844-6566
Matthew P KleinBarbara Davis Center for Diabetes, University of Anschutz Medical Campus, 1775 Aurora Court, Aurora, CO, 80045, USA.ORCID http://orcid.org/0009-0002-5279-3447
Janet K Snell-BergeonBarbara Davis Center for Diabetes, University of Anschutz Medical Campus, 1775 Aurora Court, Aurora, CO, 80045, USA.ORCID http://orcid.org/0000-0002-9337-3740
Sarit PolskyBarbara Davis Center for Diabetes, University of Anschutz Medical Campus, 1775 Aurora Court, Aurora, CO, 80045, USA. sarit.polsky@cuanschutz.edu.ORCID http://orcid.org/0000-0002-7602-0396

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe effectiveness of Hybrid Closed-Loop (HCL) therapy is rarely studied in type 1 diabetes (T1D) pregnancies.

methodsT1D pregnancies (n = 15) managed off-label during gestation using a commercially available HCL system, Tandem Control IQ, were retrospectively reviewed for baseline characteristics, continuous glucose monitoring (CGM), insulin pump use, insulin doses, and gestational health outcomes. Analyses for unadjusted descriptive statistics of baseline characteristics, glycemic parameters, and gestational health outcomes were performed (mean ± standard deviation (SD) or median with interquartile range (IQR) for continuous variables). Control IQ was used prior to pregnancy by 12 of the 15 cases, with 3 initiating use during gestation.

resultsOn average, targets were met for pregnancy-specific Time-In-Range (psTIR, 63-140 mg/dL for > 70%) during most of gestation, pregnancy-specific Time-Below-Range (psTBR, < 63 mg/dL for < 4%) throughout gestation, and pregnancy-specific Time-Above-Range (psTAR, > 140 mg/dL for < 25%) from 10- to 17-week gestation. Targets for non-pregnancy TIR (70-180 mg/dL), TAR (> 140 mg/dL), and TBR (< 70 mg/dL) were met preconception and post-partum. Glycemic metrics improved after the first pregnancy visit wherein assistive techniques were applied for off-label use of this HCL system. Gestational health outcomes were as anticipated for T1D pregnancies.

conclusionsTandem Control IQ HCL therapy used with assistive techniques in 15 T1D pregnancies was associated with improved glycemic levels from the first clinic visit onward.

Indexed as

Diabetes Mellitus, Type 1Hypoglycemic AgentsInsulinInsulin Infusion SystemsPregnancy in DiabeticsAdultBlood GlucoseBlood Glucose Self-MonitoringFemaleHumansPregnancyPregnancy OutcomeRetrospective StudiesYoung AdultBlood GlucoseHypoglycemic AgentsInsulinGestational health outcomesGlycemic targetsHybrid closed loopPregnancyTandem control IQType 1 diabetes

Identifiers

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Textmetadata
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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.