Evidence map›Paper›PMID 40590465›Full record

ReviewJournal of diabetes science and technology2025

Registration and Real-Life Studies on Automated Insulin Delivery Systems.

Halis Kaan Akturk, Sue A Brown, Roy W Beck, Jennifer L Sherr, Richard M Bergenstal, Boris P Kovatchev, Robert Vigersky, Marc D Breton, Roman Hovorka, David C Klonoff and 1 more

Abstract readReview
In one paragraph

Review in Journal of diabetes science and technology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Artificial Pancreas: The First 20 Years.Journal of diabetes science and technology · 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

11 authors.

Halis Kaan AkturkBarbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID 0000-0003-4518-5179
Sue A BrownUniversity of Virginia, Charlottesville, VA, USA.
Roy W BeckJaeb Center, Tampa, FL, USA.
Jennifer L SherrYale School of Medicine, New Haven, CT, USA.ORCID 0000-0001-9301-3043
Richard M BergenstalInternational Diabetes Center at Park Nicollet, St Louis Park, MN, USA.ORCID 0000-0002-9050-5584
Boris P KovatchevUniversity of Virginia, Charlottesville, VA, USA.ORCID 0000-0003-0495-3901
Robert VigerskyMedtronic Diabetes, Northridge, CA, USA.ORCID 0000-0002-3546-3385
Marc D BretonUniversity of Virginia, Charlottesville, VA, USA.ORCID 0000-0001-7645-2693
Roman HovorkaUniversiry of Cambridge, Cambridge, UK.ORCID 0000-0003-2901-461X
David C KlonoffDiabetes Research Institute, Mills-Peninsula Medical Center, San Mateo, CA, USA.ORCID 0000-0001-6394-6862
Satish K GargBarbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Diabetes Control and Complications Trial (DCCT) clearly documented long-term beneficial effects on both micro- and macro-vascular complications associated with type 1 diabetes (T1D) by using intensive insulin therapy (IIT) via multiple daily injections (MDIs) or insulin pumps more than 30 year ago. IIT, both during the DCCT and with translation into clinical practice, has been demonstrated to increase the risk of severe hypoglycemia and weight gain. Automated insulin delivery (AID) systems have become the standard of care in T1D management in the developed countries. MATERIALS AND

methodsWe reviewed the registration and real-life studies for different AID systems reported to date. Many of the registration studies were sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). A systematic literature search was conducted using the MEDLINE (PubMed) database. Studies with the longest duration and/or with the largest number of participants were included.

resultsIn the last decade, the introduction of a many AID systems for patients with T1D has shown improvements in glycemic metrics as documented by HbA1c values, time in range (TIR), time below range (TBR), and quality of life. Most of the registration and real-life studies have shown safe and effective use of AID systems for all age groups living with T1D.

conclusionsIn this review, we summarize the registration and real-life studies of US Food and Drug Administration (FDA)-approved AID systems. Real-life studies confirmed the glycemic outcomes of AID systems reported from registration studies.

Indexed as

Diabetes Mellitus, Type 1Hypoglycemic AgentsInsulinInsulin Infusion SystemsBlood GlucoseHumansRegistriesBlood GlucoseHypoglycemic AgentsInsulinartificial pancreasCGMCSIIHbA1chyperglycemiahypoglycemiainsulin pumptime below rangetime in range

Identifiers

PMID40590465
PMCPMC12213531

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.