Evidence map›Paper›PMID 40995630›Full record

Trial reportDiabetes technology & therapeutics2026

Impact of Simplification Strategies on Postmeal Glucose Excursions in Older Adults with Type 1 Diabetes and Hypoglycemia.

Elena Toschi, Molly Savory, Colin Conery, Noa Krakoff, Atif Adam, Christine Slyne, Medha Munshi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes technology & therapeutics, 2026. 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. 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

7 authors.

Elena ToschiJoslin Diabetes Center, Boston, Massachusetts, USA.ORCID 0000-0003-4077-1160
Molly SavoryJoslin Diabetes Center, Boston, Massachusetts, USA.
Colin ConeryJoslin Diabetes Center, Boston, Massachusetts, USA.
Noa KrakoffJoslin Diabetes Center, Boston, Massachusetts, USA.
Atif AdamJoslin Diabetes Center, Boston, Massachusetts, USA.
Christine SlyneJoslin Diabetes Center, Boston, Massachusetts, USA.
Medha MunshiJoslin Diabetes Center, Boston, Massachusetts, USA.ORCID 0000-0001-6917-4197

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI ROHIT N. KULKARNI · 1986 to 2026
$50.5M
Use of Continuous Glucose Monitoring with Automated Clinical Decision Support to Reduce Hypoglycemia in Older Adults with Type 1 DiabetesDP3DK112214 · NIDDK · JOSLIN DIABETES CENTER · PI MUNSHI, MEDHA N, STEIL, GARRY MICHAEL · 2016 to 2016
$4.0M
NIDDK NIH HHS 1DP3DK112214-01NIDDK NIH HHS DP3 DK112214NIDDK NIH HHS P30 DK036836NIDDK NIH HHS P30DK036836
6 · The paper itself

Abstract

Continuous glucose monitoring with simplification strategies reduces hypoglycemia in older adults with type 1 diabetes (T1D), however the impact on postmeal glycemia is not known. A post-hoc analysis of older adults with T1D randomized to intervention with mealtime simplification strategies, or control, assessed weekly postmeal hypoglycemia and hyperglycemia. At baseline, 88 older adults with T1D (71 ± 5 years) in intervention (n = 47) and control (n = 41) had similar number of episodes of postmeal hypo- and hyperglycemia. The mean decrease from baseline to 6 months in episodes of postmeal hypoglycemia was: after breakfast (-0.77 vs. -0.32;

Indexed as

Blood GlucoseDiabetes Mellitus, Type 1HyperglycemiaHypoglycemiaHypoglycemic AgentsAgedBlood Glucose Self-MonitoringFemaleGlycated HemoglobinHumansInsulinMaleMealsMiddle AgedPostprandial PeriodBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulincontinuous glucose monitoringglucose excursionshypoglycemiaolder adultssimplificationtype 1 diabetes

Identifiers

PMID40995630
PMCPMC13535645

What Socratic holds

Textmetadata
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.