Research Summary
Analyzed using Evidence Intelligence™

Qualitative meal-size estimation shows mixed results in insulin delivery

Last updated August 22, 2026

Key finding

Automated basal insulin delivery was higher in the qualitative meal-size estimation arm (34.6 vs. 32.6 units/day; P = 0.003).

Comparison of qualitative meal-size estimation with carbohydrate counting in adults with type 1 diabetes.

Quick read

Study at a glance

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EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 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

Comparison of qualitative meal-size estimation with carbohydrate counting in adults with type 1 diabetes.

Clinical relevance

This study evaluated Comparison of qualitative meal-size estimation with carbohydrate counting in adults with type 1 diabetes.

Keep in mind

Limitations were not clearly described in the extracted text.

Published in

Journal Reference

Publication details and source links for this paper.

Ahmad H, Laurent L, Marie R, et al. Qualitative Meal-Size Estimation Compared with Carbohydrate Counting in Automated Insulin Delivery. Diabetes Care. 2023;46(7):1372-1378. doi:10.2337/dc22-2297

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to Hybrid closed-loop system and Daily units of automated basal insulin delivered, Time in range.

Primary intervention

Hybrid closed-loop system

Primary outcomes

  • Daily units of automated basal insulin delivered
  • Time in range

Evidence relationships

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

2
Evidence pairs
2
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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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: 60

3

Related topics

2

Evidence pairs

898

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 2 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

Insulin Delivery Systems and CGM Time in Range

Related evidence

Evidence topic

Diabetes Technology

Save evidence

Evidence topic

CGM Time in Range

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Core evidence

Study findings

The primary outcomes reported in this study.

Daily units of automated basal insulin delivered

Hybrid closed-loop system → Daily units of automated basal insulin delivered

Hybrid closed-loop system → Daily units of automated basal insulin delivered

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Time in range

Hybrid closed-loop system → Time in range

Hybrid closed-loop system → Time in range

Evidence Intelligence™
EvidenceScore™
88
Strong
ImpactScore™
81
Positive
ConsistencyScore™
71
generally_consistent
Supporting studies: Based on 21 studies
Add to Evidence Tracker

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Connected Evidence

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Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Insulin Delivery Systems and CGM Time in Range, Insulin Delivery Systems and Daily units of automated basal insulin delivered.

Related evidence relationships

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 Insulin Delivery Systems improve CGM Time in Range?

Strong Evidence

Insulin Delivery Systems may improve CGM Time in Range.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Time in range

    EvidenceScore™ Strong | EvidenceScore™ 87.7 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on 38 supporting studies with generally consistent results and a positive effect signal.

38 supporting studies

Does Hybrid closed-loop system improve daily units of automated basal insulin delivered?

Emerging Evidence

Hybrid closed-loop system appears to improve daily units of automated basal insulin delivered.

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

Ranked evidence signals

  1. 1

    Daily units of automated basal insulin delivered

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study
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