Evidence map›Paper›PMID 42792728›Full record

ReviewBiomedicines2026

The Emerging Potential of Diabetes Technology to Improve Metabolic Dysfunction-Associated Steatotic Liver Disease in Patients with Type 1 Diabetes: A Narrative Review.

Anna Garmpi, Vaia Lambadiari, Chrysi Koliaki

Abstract readReview
In one paragraph

Review in Biomedicines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Anna GarmpiFirst Propaedeutic Department of Internal Medicine and Diabetes Center, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, 17 Agiou Thoma Street, 11527 Athens, Greece.ORCID 0000-0003-0258-5965
Vaia LambadiariResearch Unit and Diabetes Center, Second Propaedeutic Department of Internal Medicine, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 1 Rimini Street, 12462 Athens, Greece.
Chrysi KoliakiResearch Unit and Diabetes Center, Second Propaedeutic Department of Internal Medicine, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 1 Rimini Street, 12462 Athens, Greece.ORCID 0000-0003-3599-727X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metabolic dysfunction-associated steatotic liver disease (MASLD) has emerged as an increasingly common comorbidity in individuals with type 1 diabetes (T1D), driven by the rising prevalence of obesity and insulin resistance in this population. Modern diabetes technologies have transformed T1D management and may favorably influence several pathophysiological pathways implicated in T1D-associated MASLD. We aimed to summarize and critically appraise current evidence regarding the emerging potential of diabetes technologies, such as continuous glucose monitoring (CGM), continuous subcutaneous insulin infusion (CSII) and automated insulin delivery (AID) systems, to influence MASLD-related outcomes in adults with T1D, and further discuss therapeutic implications and remaining evidence gaps. The existing evidence remains limited and is predominantly based on observational cross-sectional studies. The available data suggest that diabetes technologies may favorably influence the metabolic milieu associated with MASLD by increasing time in range, reducing glycemic variability and hypoglycemia, optimizing insulin delivery and improving the overall metabolic control. However, evidence for an association with hepatic outcomes remains limited, indirect and inconsistent. Emerging observational data have linked less favorable CGM-derived metrics, particularly lower time in range and greater glycemic variability, with hepatic steatosis and fibrosis, although some studies have identified insulin resistance as a stronger determinant than glycemic metrics alone. CSII therapy has been associated with favorable metabolic profiles, but confounding factors may limit causal interpretation. No study has demonstrated yet a direct beneficial effect of AID systems on hepatic steatosis or fibrosis in patients with T1D. In conclusion, diabetes technologies may favorably influence several pathophysiological pathways involved in T1D-associated MASLD. However, current evidence regarding potential hepatic benefits remains limited and indirect, precluding technology-specific recommendations for MASLD prevention or treatment in T1D. Adequately powered, prospective randomized studies with standardized imaging-based hepatic outcomes are needed to establish causality and define evidence-based clinical recommendations.

Indexed as

automated insulin deliverycontinuous glucose monitoringdiabetes technologyhepatic fibrosishepatic steatosisinsulin pumpinsulin resistancemetabolic dysfunction-associated steatotic liver diseasetype 1 diabetes

Identifiers

PMID42792728
PMCPMC13604499

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.