Evidence map›Paper›PMID 21707690›Full record

ArticleClinical endocrinology2012

A concerted decline in insulin secretion and action occurs across the spectrum of fasting and postchallenge glucose concentrations.

Airani Sathananthan, Chiara Dalla Man, Alan R Zinsmeister, Michael Camilleri, Richard J Rodeheffer, Gianna Toffolo, Claudio Cobelli, Robert A Rizza, Adrian Vella

Open access · greenAbstract read
In one paragraph

Article in Clinical endocrinology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
1.8field-weighted citation impact, top 17% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 43 citations in OpenAlex.

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  6. Association between thyrotropin levels and insulin sensitivity in euthyroid obese adolescents.Thyroid : official journal of the American Thyroid Association · 2015
    Trial
  7. Modeling the effect of glucagon on endogenous glucose production in healthy individuals under meal-like conditions.American journal of physiology. Regulatory, integrative and comparative physiology · 2025
    Article
  8. Diabetes-associated Genetic Variation inJournal of the Endocrine Society · 2024
    Article
  9. Article
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  11. Article
  12. Article
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  14. Article
  15. The Effect of Diabetes-Associated Variation inMetabolic syndrome and related disorders · 2022
    Article
  16. Review
  17. Insulin Pulse Characteristics and Insulin Action in Non-diabetic Humans.The Journal of clinical endocrinology and metabolism · 2021
    Article
  18. Assessment of individual and standardized glucagon kinetics in healthy humans.American journal of physiology. Endocrinology and metabolism · 2021
    Article
  19. Article
  20. Review
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

9 authors at 2 institutions in 2 countries.

Airani SathananthanDivision of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MN 55905, USA.
Chiara Dalla Man
Alan R Zinsmeister
Michael Camilleri
Richard J Rodeheffer
Gianna Toffolo
Claudio Cobelli
Robert A Rizza
Adrian Vella
Mayo Clinic in Arizona · USUniversity of Padua · IT

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
Obesity and Energy Metabolism CoreP30DK050456 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI CROW, SCOTT J · 1995 to 2015
$17.0M
MECHANISMS OF INSULIN RESISTANCE IN MANR01DK029953 · NIDDK · UNIVERSITY OF VIRGINIA · PI BASU, RITA · 1986 to 2024
$11.5M
The regulation of fasting glucose metabolism in people with and without prediabetesR01DK078646 · NIDDK · MAYO CLINIC ROCHESTER · PI Adrian Vella · 2007 to 2026
$8.7M
Pharmacogenomics of Gastric Function &Weight in ObesityR01DK067071 · NIDDK · MAYO CLINIC ROCHESTER · PI CAMILLERI, MICHAEL L. · 2004 to 2020
$4.7M
PREVALENCE OF ASYMPTOMATIC VENTRICULAR DYSFUNCTIONR01HL055502 · NHLBI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI RODEHEFFER, RICHARD J. · 1997 to 2004
$2.7M
MECHANISMS OF INSULIN RESISTANCE in ManR37DK029953 · NIDDK · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI RIZZA, ROBERT A. · 1996 to 2003
$1.8M
Pharmacogenomics of Gastric Function & Weight in ObesityR56DK067071 · NIDDK · MAYO CLINIC ROCHESTER · PI CAMILLERI, MICHAEL L. · 2015 to 2015
$396k
NCATS NIH HHS UL1 TR000135NCRR NIH HHS RR24150NCRR NIH HHS UL1 RR024150NHLBI NIH HHS HL-55502NHLBI NIH HHS R01 HL055502NIDDK NIH HHS DK29953NIDDK NIH HHS DK50456NIDDK NIH HHS DK 67071NIDDK NIH HHS DK78646NIDDK NIH HHS P30 DK050456NIDDK NIH HHS R01 DK029953NIDDK NIH HHS R01 DK067071NIDDK NIH HHS R01 DK078646NIDDK NIH HHS R37 DK029953NIDDK NIH HHS R56 DK067071
6 · The paper itself

Abstract

aims/hypothesisIndividuals with impaired fasting glucose (IFG) are at increased risk of developing diabetes over the subsequent decade. However, there is uncertainty as to the mechanisms contributing to the development of diabetes. We sought to quantitate insulin secretion and action across the prediabetic range of fasting glucose.

methodsWe studied a cohort of 173 individuals with a fasting glucose concentration <7·0 mM after an overnight fast using a 75-g oral glucose tolerance test (OGTT). Insulin action (S(i)) was estimated using the oral glucose minimal model, and β-cell responsivity indices (φ) were estimated using the oral C-peptide minimal model. The disposition index (DI) for each individual was calculated. The relationship of DI, φ and S(i) with fasting and postchallenge glucose, as well as other covariates, was explored using a generalized linear regression model.

resultsIn this cross-sectional study, S(i) and DI were inversely related to fasting glucose concentrations. On the other hand, φ was unrelated to fasting glucose concentrations. S(i), φ and DI were all inversely related to area above basal glucose concentrations after glucose challenge. Multiple parameters including body composition and gender contributed to the variability of S(i) and DI at a given fasting or postchallenge glucose concentration. CONCLUSIONS/

interpretationDefects in insulin secretion and action interact with body composition and gender to influence postchallenge glucose concentrations. There is considerable heterogeneity of insulin secretion and action for a given fasting glucose likely because of patient subsets with isolated IFG and normal glucose tolerance.

Indexed as

AgedBlood GlucoseBody CompositionCross-Sectional StudiesFastingFemaleGlucose Tolerance TestHumansInsulinMaleMiddle AgedBlood GlucoseInsulin

Identifiers

PMID21707690
PMCPMC3983528
OpenAlexW1903816935

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.