Evidence map›Paper›PMID 22921261›Full record

Trial reportPain2012

Experimental hypoglycemia is a human model of stress-induced hyperalgesia.

Christopher H Gibbons, Gail K Adler, Istvan Bonyhay, Roy Freeman

2 registry-linked trialsOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Pain, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are 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
1.7field-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.

NCT01816893 nacompletednot on this map

Hypoglycemia and Autonomic Nervous System Function

TypeinterventionalSponsorBrigham and Women's HospitalRan2004 to 2007Enrolled22ConditionsHypoglycemiaArmsHypoglycemic hyperinsulinemic clamp, Euglycemic hyperinsulinemic clamp
NCT02915263 phase2terminatednot on this mapstarted 2017, after this paper: background citation

A Double-Blind, Randomized, Placebo-Controlled Trial To Evaluate The Efficacy Of Intravenous Immunoglobulin Therapy In Treatment Induced Neuropathy Of Diabetes

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2017 to 2022Enrolled13ConditionsDiabetes Complications, Diabetes Mellitus, Diabetic NeuropathiesArmsIGIV-C, 0.9% Sodium Chloride
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Strategies for optimization of hypoglycemia rat models.Animal models and experimental medicine · 2025
    Review
  4. Article
  5. Validity of mental and physical stress models.Neuroscience and biobehavioral reviews · 2024
    Review
  6. Review
  7. Stress, hypoglycemia, and the autonomic nervous system.Autonomic neuroscience : basic & clinical · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Pain in Times of Stress.The Malaysian journal of medical sciences : MJMS · 2015
    Article
  14. Article
  15. Stress induces pain transition by potentiation of AMPA receptor phosphorylation.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2014
    Article
  16. Diabetic neuropathies.Continuum (Minneapolis, Minn.) · 2014
    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

4 authors at 2 institutions in 1 country.

Christopher H GibbonsDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA Division of Endocrinology, Diabetes and Hypertension, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Gail K Adler
Istvan Bonyhay
Roy Freeman
Harvard University · USBeth Israel Deaconess Medical Center · US

Funding

Zoledronic Acid in Treatment of Osteoporosis in PostmenoM01RR002635 · NCRR · BRIGHAM AND WOMEN'S HOSPITAL · PI GARBER, JUDY E. · 1985 to 2008
$48.4M
HYPOGLYCEMIA AND AUTONOMIC NERVOUS SYSTEM FUNCTIONR01DK063296 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI FREEMAN, ROY · 2003 to 2007
$2.9M
Hypoglycemia, mineralocorticoid receptor and autonomic controlR01HL109634 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI FREEMAN, ROY · 2011 to 2014
$2.1M
Aldosterone and Diabetic Cardiovascular Disease: Research and Mentoring ProgamK24HL103845 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ADLER, GAIL KURR · 2011 to 2021
$1.6M
Structure & Function in Diabetic Small Fiber NeuropathyK23NS050209 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GIBBONS, CHRISTOPHER H · 2008 to 2012
$853k
NEUROTOXIC AMINO ACID MECHANISMS IN VIVO AND IN VITROR01NS020509 · NINDS · VANDERBILT UNIVERSITY · PI WHETSELL, WILLIAM O · 1985 to 1989
–
NCRR NIH HHS M01 RR002635NCRR NIH HHS MO1 RR002635NHLBI NIH HHS K24 HL103845NHLBI NIH HHS R01 HL109634NIDDK NIH HHS R01 DK063296NINDS NIH HHS K23 NS020509NINDS NIH HHS K23 NS050209
6 · The paper itself

Abstract

Hypoglycemia is a physiological stress that leads to the release of stress hormones, such as catecholamines and glucocorticoids, and proinflammatory cytokines. These factors, in euglycemic animal models, are associated with stress-induced hyperalgesia. The primary aim of this study was to determine whether experimental hypoglycemia in humans would lead to a hyperalgesic state. In 2 separate 3-day admissions separated by 1 to 3 months, healthy study participants were exposed to two 2-hour euglycemic hyperinsulinemic clamps or two 2-hour hypoglycemic hyperinsulinemic clamps. Thermal quantitative sensory testing and thermal pain assessments were measured the day before and the day after euglycemia or hypoglycemia. In contrast to prior euglycemia exposure, prior hypoglycemia exposure resulted in enhanced pain sensitivity to hot and cold stimuli as well as enhanced temporal summation to repeated heat-pain stimuli. These findings suggest that prior exposure to hypoglycemia causes a state of enhanced pain sensitivity that is consistent with stress-induced hyperalgesia. This human model may provide a framework for hypothesis testing and targeted, mechanism-based pharmacological interventions to delineate the molecular basis of hyperalgesia and pain susceptibility.

Indexed as

AdolescentAdultFemaleGlucose Clamp TechniqueHumansHyperalgesiaHypoglycemiaHypoglycemic AgentsInsulinMaleMiddle AgedModels, NeurologicalPain ThresholdStress, PhysiologicalYoung AdultHypoglycemic AgentsInsulin

Identifiers

PMID22921261
PMCPMC3563397
OpenAlexW2078557675

What OpenQuestion holds

Textmetadata
LicenceTDM
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.