Evidence map›Paper›PMID 20067967›Full record

Trial reportDiabetes care2010

Effects of intravenous glucose load on insulin secretion in patients with ketosis-prone diabetes during near-normoglycemia remission.

Aidar R Gosmanov, Dawn Smiley, Gonzalo Robalino, Joselita M Siqueira, Limin Peng, Abbas E Kitabchi, Guillermo E Umpierrez

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Diabetes care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00753142 (Mechanism Underlying Beta-cell Failure in Obese African Americans With History of Hyperglycemic Crises), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
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.

NCT00753142 nacompletednot on this map

Mechanism Underlying Beta-cell Failure in Obese African Americans With History of Hyperglycemic Crises

TypeinterventionalSponsorEmory UniversityRan2004 to 2009Enrolled28ConditionsDiabetes Mellitus, Type 2ArmsIntralipid 20%, Glucose infusion
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Ketosis-Prone Type 2 Diabetes: A Case Series.Frontiers in endocrinology · 2019
    Article
  7. Review
  8. Article
  9. DIABETIC KETOACIDOSIS: A COMMON DEBUT OF DIABETES AMONG AFRICAN AMERICANS WITH TYPE 2 DIABETES.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2017
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Rising incidence and challenges of childhood diabetes. A mini review.Journal of endocrinological investigation · 2012
    Review
  15. Article
  16. Article
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

7 authors at 2 institutions in 1 country.

Aidar R GosmanovDepartment of Medicine, Emory University, Atlanta, Georgia, USA.
Dawn Smiley
Gonzalo Robalino
Joselita M Siqueira
Limin Peng
Abbas E Kitabchi
Guillermo E Umpierrez
Emory University · USUniversity of Tennessee Health Science Center · US

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
X LINKED NYSTAGMUS SYNDROME WITH FEATURES OF ALBINISMM01RR000039 · NCRR · EMORY UNIVERSITY · PI QUYYUMI, ARSHED A · 1985 to 2007
$21.3M
Markers of normoglycemic remission in obese diabeticsR03DK073190 · NIDDK · EMORY UNIVERSITY · PI UMPIERREZ, GUILLERMO E · 2005 to 2006
$237k
NCATS NIH HHS UL1 TR000454NCRR NIH HHS M01 RR000039NIDDK NIH HHS R03 DK073190
6 · The paper itself

Abstract

objectiveMost patients with ketosis-prone type 2 diabetes (KPD) discontinue insulin therapy and remain in near-normoglycemic remission. The aim of this study was to determine the effect of glucotoxicity on beta-cell function during remission in obese patients with KPD. RESEARCH DESIGN AND

methodsAge- and BMI-matched obese African Americans with a history of KPD (n = 8), severe hyperglycemia but without ketosis (ketosis-resistant type 2 diabetes, n = 7), and obese control subjects (n = 13) underwent intravenous infusion of 10% dextrose at a rate of 200 mg per m(2)/min for 20 h. beta-Cell function was assessed by changes in insulin and C-peptide concentrations during dextrose infusion and by changes in acute insulin response (AIR) and first-phase insulin release (FPIR) to arginine stimulation before and after dextrose infusion.

resultsThe mean +/- SD time to discontinue insulin therapy was 7.1 +/- 1.7 weeks in KPD and 9.6 +/- 2.3 weeks in ketosis-resistant type 2 diabetes (NS). During a 20-h dextrose infusion, changes in insulin, C-peptide, and the C-peptide-to-glucose ratio were similar among diabetic and control groups. During dextrose infusion, subjects with ketosis-resistant type 2 diabetes had greater areas under the curve for blood glucose than subjects with KPD and control subjects (P < 0.05). The AIR and FPIR to arginine stimulation as well as glucose potentiation to arginine assessed before and after dextrose infusion were not different among the study groups.

conclusionsNear-normoglycemia remission in obese African American patients with KPD and ketosis-resistant type 2 diabetes is associated with a remarkable recovery in basal and stimulated insulin secretion. At near-normoglycemia remission, patients with KPD displayed a pattern of insulin secretion similar to that of patients with ketosis-resistant type 2 diabetes and obese nondiabetic subjects.

Indexed as

AdultBlack or African AmericanBlood GlucoseDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleGlucoseGlucose Tolerance TestHumansInsulinInsulin SecretionMaleMiddle AgedObesityBlood GlucoseGlucoseInsulin

Identifiers

PMID20067967
PMCPMC2845041
OpenAlexW2167684127

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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 OpenQuestion graph.