Resumen de Investigación
Analyzed using Evidence Intelligence™

Simplified meal announcement maintains glucose control in type 1 diabetes.

Última actualización 12 de julio de 2026

Key finding

Total daily insulin dose was higher with SMA: 54.0 ± 14.7 U vs 51.7 ± 12.1 U, p = 0.037.

This study evaluated the CamAPS FX algorithm with simplified meal announcement against carbohydrate counting in youth and young adults with type 1 diabetes, finding non-inferiority in glucose control.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the CamAPS FX algorithm with simplified meal announcement against carbohydrate counting in youth and young adults with type 1 diabetes, finding non-inferiority in glucose control.

Clinical relevance

These findings are significant as they suggest that a simplified approach to meal announcements can effectively manage glucose levels in youth and young adults with type 1 diabetes. This could lead to easier diabetes management strategies, potentially improving adherence and quality of life for patients who may find carbohydrate counting challenging.

Keep in mind

The study may have limited generalizability due to its specific population. The sample size and duration of the study were not specified. Potential biases in self-reported measures could affect accuracy.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Céline IL, Camillo P, Nina S, et al. Glucose control using the CamAPS FX algorithm with simplified meal announcement was non-inferior to carbohydrate counting in youth and young adults with type 1 diabetes. Diabetologia. 2024;68(2):295-307. doi:10.1007/s00125-024-06319-w

Efectos Principales

Time in target glucose range was 69.9 ± 12.4% with SMA and 70.7 ± 13.0% with CC, showing non-inferiority.

Total daily insulin dose was higher with SMA at 54.0 ± 14.7 U compared to 51.7 ± 12.1 U with CC, p = 0.037.

Time <3.9 mmol/l was similar between SMA and CC, at 1.8% and 1.9%, respectively.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Low-carbohydrate diet, Very-low-calorie ketogenic diet and Percentage of time spent above 10.0 mmol/L, Time above 13.9 mmol/L, Time in range, and 1 more.

Primary intervention

Low-carbohydrate diet

Primary outcomes

  • Percentage of time spent above 10.0 mmol/L
  • Time above 13.9 mmol/L
  • Time in range

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

8
Evidence pairs
8
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 59

1

Related topics

8

Evidence pairs

171

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

Low-Carbohydrate Diet Education and CGM Time in Range

Evidencia relacionada

Relación de evidencia

Low-Carbohydrate Diet Education and Insulin Resistance

Guardar evidencia

Relación de evidencia

Ketogenic Diets and Insulin Resistance

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Percentage of time spent above 10.0 mmol/L

Low-carbohydrate diet → Percentage of time spent above 10.0 mmol/L

Low-carbohydrate diet → Percentage of time spent above 10.0 mmol/L

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Time above 13.9 mmol/L

Low-carbohydrate diet → Time above 13.9 mmol/L

Low-carbohydrate diet → Time above 13.9 mmol/L

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Time in range

Low-carbohydrate diet → Time in range

Low-carbohydrate diet → Time in range

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Total daily insulin dose

Low-carbohydrate diet → Total daily insulin dose

Low-carbohydrate diet → Total daily insulin dose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Percentage of time spent above 10.0 mmol/L

Very-low-calorie ketogenic diet → Percentage of time spent above 10.0 mmol/L

Very-low-calorie ketogenic diet → Percentage of time spent above 10.0 mmol/L

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Time above 13.9 mmol/L

Very-low-calorie ketogenic diet → Time above 13.9 mmol/L

Very-low-calorie ketogenic diet → Time above 13.9 mmol/L

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Time in range

Very-low-calorie ketogenic diet → Time in range

Very-low-calorie ketogenic diet → Time in range

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Total daily insulin dose

Very-low-calorie ketogenic diet → Total daily insulin dose

Very-low-calorie ketogenic diet → Total daily insulin dose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

Build your evidence library

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evidence suggest

La Evidencia Sugiere

  • SMA maintained similar glucose control as CC, with a difference of only -0.6 percentage points.
  • Total daily insulin dose increased by 2.4 U with SMA compared to CC.
  • Time spent in the target glucose range was comparable between both methods.
who this applies

A quién se aplica

  • Youth and young adults aged 12-25 with type 1 diabetes.
  • Individuals managing diabetes who may struggle with carbohydrate counting.
keep in mind

Tener en Cuenta

  • Results may not apply to older adults or those with type 2 diabetes.
  • The effectiveness of SMA may vary based on individual dietary habits.
  • Further research is needed to confirm long-term outcomes and adherence.
between the lines

Entre Líneas

  • The study may have limited generalizability due to its specific population.
  • The sample size and duration of the study were not specified.
  • Potential biases in self-reported measures could affect accuracy.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Low-Carbohydrate Diet Education and Insulin Resistance, Low-Carbohydrate Diet Education and CGM Time in Range.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Low-Carbohydrate Diet Education improve insulin resistance?

Moderate Evidence

Low-Carbohydrate Diet Education may improve Insulin Resistance.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Total daily insulin dose

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Jul 2026

Does Low-Carbohydrate Diet Education improve cgm time in range?

Moderate Evidence

Low-Carbohydrate Diet Education may improve CGM Time in Range.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Percentage of time spent above 10.0 mmol/L

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

  2. 2

    Time above 13.9 mmol/L

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

  3. 3

    Time in range

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Jul 2026

Does Ketogenic Diets improve insulin resistance?

Moderate Evidence

Ketogenic Diets may worsen Insulin Resistance or be associated with harm.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Total daily insulin dose

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | moderate negative | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Jul 2026

Does Ketogenic Diets improve cgm time in range?

Emerging Evidence

Current evidence does not show a clear benefit of Ketogenic Diets for CGM Time in Range.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Percentage of time spent above 10.0 mmol/L

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

  2. 2

    Time above 13.9 mmol/L

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

  3. 3

    Time in range

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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