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Record W2995287922 · doi:10.1159/000480169

Technology and Diabetes in Pregnancy

2019· book-chapter· en· W2995287922 on OpenAlex
Denice S. Feig, Matteo Andrea Bonomo

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueFrontiers in diabetes · 2019
Typebook-chapter
Languageen
FieldMedicine
TopicGestational Diabetes Research and Management
Canadian institutionsLunenfeld-Tanenbaum Research InstituteUniversity of Toronto
Fundersnot available
KeywordsPregnancyMedicineDiabetes mellitusObstetricsDiabetes in pregnancyGestational diabetesEndocrinologyBiologyGestation

Abstract

fetched live from OpenAlex

Technology is increasingly proving beneficial in helping patients with diabetes achieve better glycemic control with less hypoglycemia. However, there are little data during pregnancy. Old randomized trials using insulin pump during pregnancy have not shown improvements in glycemic control, while more recent cohort studies obtained variable results with either similar or worse glycemic control and neonatal outcomes. Considering these still unsatisfactory results, many expectations have been raised by the introduction of continuous glucose monitoring (CGM). “Professional” CGM has proved valuable as an investigational tool, giving deeper insight into glucose pathophysiology and effects of diabetes in perinatal outcomes, but its routine clinical application was predominantly disappointing on pregnancy outcome. More recently, real-time CGM (RTCGM) seems to offer the most interesting prospects. While an earlier trial using intermittent RTCGM was not very encouraging, the CONCEPTT study, a multicenter, randomized trial of continuous use of CGM showed improved glycemic control and neonatal outcomes. Preliminary data from closed-loop studies in pregnancy show improved nocturnal time in target and less hypoglycemia. Daytime time in target with postprandial highs remain a challenge. Further large randomized trials in pregnancy with hybrid closed-loop systems are needed to show safety and efficacy in the broader pregnant population.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.630
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0020.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.009
GPT teacher head0.232
Teacher spread0.223 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it