Accès ouvert déclaré 2023 review

Utility and precision evidence of technology in the treatment of type 1 diabetes: a systematic review

Laura M. Jacobsen, Jennifer L. Sherr, Elizabeth G. Considine, Angela Chen, Sarah Peeling, Margo Hulsmans, Sara Charleer, Marzhan Urazbayeva, Mustafa Tosur, SELMA A. ALAMARIE, María J. Redondo, Korey K. Hood, Peter A. Gottlieb, Pieter Gillard, Jessie J. Wong, Irl B. Hirsch, Richard E. Pratley, Lori M. Laffel, Chantal Mathieu, Deirdre K. Tobias, Jordi Merino, Abrar Ahmad, Catherine Aiken, Jamie L. Benham, Dhanasekaran Bodhini, Amy L. Clark, Kevin Colclough, Rosa Corcoy, Sara J. Cromer, Daisy Duan, Jamie L. Felton, Ellen C. Francis, Véronique Gingras, Romy Gaillard, Eram Haider, Alice E. Hughes, Jennifer M. Iklé, Anna R. Kahkoska, Jarno L. T. Kettunen, Raymond J. Kreienkamp, Lee‐Ling Lim, Jonna M. E. Männistö, Robert Massey, Niamh‐Maire Mclennan, Rachel G. Miller, Mario Luca Morieri, Jasper Most, Rochelle N. Naylor, Bige Özkan, Kashyap Patel, Scott J. Pilla, Katsiaryna Prystupa, Sridaran Raghaven, Mary R. Rooney, Martin Schön, Zhila Semnani‐Azad, Magdalena Sevilla-González, Pernille Svalastoga, Wubet Worku Takele, Claudia H.T. Tam, Anne Cathrine B. Thuesen, Amelia S. Wallace, Caroline C. Wang, Jennifer M. Yamamoto, Katherine Young, Chloé Amouyal, Mette K. Andersen, Maxine P. Bonham, Mingling Chen, Feifei Cheng, Tinashe Chikowore, Sian C. Chivers, Christoffer Clemmensen, Dana Dabelea, Adem Y. Dawed, Aaron J. Deutsch, Laura T. Dickens, Linda A. DiMeglio, Monika Dudenhöffer‐Pfeifer, Carmella Evans‐Molina, María Mercè Fernández-Balsells, Hugo Fitipaldi, Stephanie L. Fitzpatrick, Stephen E. Gitelman, Mark O. Goodarzi, Jessica A. Grieger, Marta Guasch‐Ferré, Nahal Habibi, Torben Hansen, Chuiguo Huang, Arianna Harris-Kawano, Heba M. Ismail, Benjamin Hoag, Randi K. Johnson, Angus G. Jones, Robert W. Koivula, Aaron Leong, Gloria K. W. Leung, Ingrid Libman, Kai Liu, S. Alice Long, William L. Lowe, Robert W. Morton, Ayesha A. Motala, Suna Önengüt-Gümüşcü, James S. Pankow, Maleesa Pathirana, Sofia Pazmiño, Dianna Perez, John R. Petrie, Camille E. Powe, Alejandra Quinteros, Rashmi Jain, Debashree Ray, Mathias Ried‐Larsen, Zeb Saeed, Vanessa Santhakumar, Sarah Kanbour, Sudipa Sarkar, Gabriela S. F. Monaco, Denise Scholtens, Elizabeth Selvin, Wayne Huey‐Herng Sheu, Cate Speake, Maggie A. Stanislawski, Nele Steenackers, Andrea K. Steck, Norbert Stefan, Julie Støy, Rachael W. Taylor, Sok Cin Tye, Gebresilasea Gendisha Ukke, Bart Van der Schueren, Camille Vatier, John M. Wentworth, Wesley Hannah, Sara L. White, Gechang Yu, Yingchai Zhang, Shao J. Zhou, Jacques Beltrand, Michel Polak, Ingvild Aukrust, Elisa De Franco, Sarah E. Flanagan, Kristin A. Maloney, Andrew McGovern, Janne Molnes, Mariam Nakabuye, Pål R. Njølstad, Hugo Pomares‐Millan, Michele Provenzano, Cécile Saint‐Martin, Cuilin Zhang, Yeyi Zhu, Sungyoung Auh, Russell J. de Souza, Andrea J. Fawcett, Chandra Gruber, Eskedar Getie Mekonnen, Emily Mixter, Diana Sherifali, Robert H. Eckel, John J. Nolan, Louis H. Philipson, Rebecca J. Brown, Liana K. Billings, Kristen E. Boyle, Tina Costacou, John Dennis, José C. Florez, Anna L. Gloyn, Maria F. Gomez, Siri Atma W. Greeley, Kurt Griffin, Andrew T. Hattersley, Marie‐France Hivert, Jami L. Josefson, Soo Heon Kwak, Siew Lim, Ruth J. F. Loos, Ronald C.W., Nestoras Mathioudakis, James B. Meigs, Shivani Misra, Viswanathan Mohan, Rinki Murphy, Richard A. Oram, Katharine R. Owen, Susan E. Ozanne, Ewan R. Pearson, Wei Perng, Toni I. Pollin, Rodica Pop‐Busui, Leanne M. Redman, Rebecca M. Reynolds, Robert K. Semple, Emily K. Sims, Arianne Sweeting, Miriam S. Udler, Kimberly K. Vesco, Tina Vilsbøll, Róbert Wágner, Stephen S. Rich, Paul W. Franks

31Citations signalées — pas une note de qualité

160Institutions déclarées

26Pays d’affiliation déclarés

Résumé fourni par la source

BACKGROUND: The greatest change in the treatment of people living with type 1 diabetes in the last decade has been the explosion of technology assisting in all aspects of diabetes therapy, from glucose monitoring to insulin delivery and decision making. As such, the aim of our systematic review was to assess the utility of these technologies as well as identify any precision medicine-directed findings to personalize care. METHODS: Screening of 835 peer-reviewed articles was followed by systematic review of 70 of them (focusing on randomized trials and extension studies with ≥50 participants from the past 10 years). RESULTS: We find that novel technologies, ranging from continuous glucose monitoring systems, insulin pumps and decision support tools to the most advanced hybrid closed loop systems, improve important measures like HbA1c, time in range, and glycemic variability, while reducing hypoglycemia risk. Several studies included person-reported outcomes, allowing assessment of the burden or benefit of the technology in the lives of those with type 1 diabetes, demonstrating positive results or, at a minimum, no increase in self-care burden compared with standard care. Important limitations of the trials to date are their small size, the scarcity of pre-planned or powered analyses in sub-populations such as children, racial/ethnic minorities, people with advanced complications, and variations in baseline glycemic levels. In addition, confounders including education with device initiation, concomitant behavioral modifications, and frequent contact with the healthcare team are rarely described in enough detail to assess their impact. CONCLUSIONS: Our review highlights the potential of technology in the treatment of people living with type 1 diabetes and provides suggestions for optimization of outcomes and areas of further study for precision medicine-directed technology use in type 1 diabetes.

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Contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref: Utility and precision evidence of technology in the treatment of type 1 diabetes: a systematic review
Date Crossref: 05/10/2023
Éditeur: Springer Science and Business Media LLC
Type: journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.

Institutions déclarées

University of Florida Yale University Baylor College of Medicine Texas Children's Hospital Children's Nutrition Research Center at Baylor College of Medicine Stanford University University of Colorado Denver University of Washington Translational Research Institute for Metabolism and Diabetes Joslin Diabetes Center Harvard University KU Leuven Brigham and Women's Hospital University of Copenhagen Novo Nordisk Foundation Massachusetts General Hospital Lund University University of Cambridge Rosie Hospital University of Calgary Madras Diabetes Research Foundation Cardinal Glennon Children’s Medical Center Saint Louis University University of Exeter Universitat Autònoma de Barcelona Instituto de Salud Carlos III Hospital de Sant Pau Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine Institut de Recerca Sant Pau Broad Institute Johns Hopkins University Johns Hopkins Medicine Indiana University School of Medicine Indiana University – Purdue University Indianapolis Rutgers, The State University of New Jersey Centre Hospitalier Universitaire Sainte-Justine Université de Montréal Erasmus MC University of Dundee Genomics (United Kingdom)University of North Carolina at Chapel Hill University of Helsinki Helsinki University Hospital Institute for Molecular Medicine Finland Folkhälsans Forskningscentrum Boston Children's Hospital Chinese University of Hong Kong University of Malaya Asia Diabetes Foundation Boston Children's Museum University of Eastern Finland Kuopio University Hospital The Queen's Medical Research Institute University of Edinburgh University of Pittsburgh University of Padua Zuyderland Medisch Centrum University of Chicago Deutsches Diabetes-Zentrum e.V.German Center for Diabetes Research Heinrich Heine University Düsseldorf VA Eastern Colorado Health Care System Slovak Academy of Sciences Institute of Experimental Endocrinology of the Slovak Academy of Sciences University of Bergen Haukeland University Hospital Eastern Health Monash University University of Manitoba Inserm Sorbonne Université Nutrition et obésité : approches systémiques Assistance Publique – Hôpitaux de Paris Dalian Medical University Second Affiliated Hospital of Chongqing Medical University Chongqing Medical University King's College London University of the Witwatersrand University of Colorado Anschutz Riley Hospital for Children Richard L. Roudebush VA Medical Center Institut d'Investigació Biomèdica de Girona Hospital Universitari de Girona Doctor Josep Trueta Northwell Health Feinstein Institute for Medical Research University of California, San Francisco Cedars-Sinai Medical Center The University of Adelaide University of South Dakota Sanford Children's Specialty Clinic Colorado School of Public Health Royal Devon & Exeter NHS Foundation Trust University of Oxford Oxford Centre for Diabetes, Endocrinology and Metabolism Children's Hospital of Pittsburgh Benaroya Research Institute Northwestern University Population Health Research Institute McMaster University University of KwaZulu-Natal University of Virginia University of Minnesota University of Glasgow University of Southern Denmark Rigshospitalet National Health Research Institutes Taipei Veterans General Hospital Taichung Veterans General Hospital Steno Diabetes Centers Aarhus University Hospital University Children's Hospital Tübingen Institute of Diabetes Research Newcastle University University Medical Center Groningen Hôpital Saint-Antoine The Royal Melbourne Hospital The University of Melbourne Deakin University Walter and Eliza Hall Institute of Medical Research Guy's and St Thomas' NHS Foundation Trust Hôpital Necker-Enfants Malades Institut Cochin University of Maryland, Baltimore Dartmouth College Azienda USL di Bologna University of Bologna Pitié-Salpêtrière Hospital National University of Singapore Kaiser Permanente National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases Lurie Children's Hospital Impact American Diabetes Association University of Antwerp University of Gondar Trinity College Dublin Wexford General Hospital Endeavor Health Aarhus University Sanford Research Université de Sherbrooke Harvard Pilgrim Health Care Seoul National University Hospital Icahn School of Medicine at Mount Sinai Imperial College Healthcare NHS Trust Imperial College London Dr. Mohan's Diabetes Specialities Centre University of Auckland Counties Manukau District Health Board Auckland District Health Board Wellcome/MRC Institute of Metabolic Science Oxford BioMedica (United Kingdom)University of Michigan Pennington Biomedical Research Center Institute of Genetics and Cancer The University of Sydney Royal Prince Alfred Hospital Kaiser Permanente Center for Health Research Düsseldorf University Hospital

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Sujets associés

Diabetes Management and ResearchPancreatic function and diabetesDiabetes and associated disorders

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