Evidence map›Paper›PMID 23169787›Full record

ArticleAmerican journal of physiology. Endocrinology and metabolism2013

Long-term, intermittent, insulin-induced hypoglycemia produces marked obesity without hyperphagia or insulin resistance: a model for weight gain with intensive insulin therapy.

Ewan C McNay, Jennifer A Teske, Catherine M Kotz, Ambrose Dunn-Meynell, Barry E Levin, Rory J McCrimmon, Robert S Sherwin

Abstract readEvaluation Study
In one paragraph

Article in American journal of physiology. Endocrinology and metabolism, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Bariatric surgery in patients with type 1 diabetes: special considerations are warranted.Therapeutic advances in endocrinology and metabolism · 2019
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  4. Observational
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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 7 institutions in 2 countries.

Ewan C McNayBehavioral Neuroscience, University at Albany, 1400 Washington Ave., Albany, NY 12222, USA. emcnay@albany.edu
Jennifer A Teske
Catherine M Kotz
Ambrose Dunn-Meynell
Barry E Levin
Rory J McCrimmon
Robert S Sherwin
Rutgers New Jersey Medical SchoolSouthern Arizona VA Health Care System · USUniversity at Albany, State University of New York · USUniversity of Dundee · GBUniversity of Minnesota · USVeterans Biomedical Research Institute · USYale University · US

Funding

Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI Richard A Flavell · 1993 to 2026
$44.0M
GLUCOREGULATORY HORMONE INTERACTIONS IN DIABETESR37DK020495 · NIDDK · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 1995 to 2012
$7.3M
GLUCOREGULATORY HORMONE INTERACTIONS IN DIABETESR01DK020495 · NIDDK · YALE UNIVERSITY · PI ROTHMAN, DOUGLAS LYLE · 1986 to 2022
$6.6M
BRAIN GLUCOSENSING NEURONS IN HEALTH AND DIABETESR01DK053181 · NIDDK · VETERANS BIOMEDICAL RESEARCH INSTITUTE · PI LEVIN, BARRY E · 1998 to 2014
$5.6M
Insulin in the hippocampus: memory enhancement and impact of type 2 diabetesR01DK077106 · NIDDK · YALE UNIVERSITY · PI MCNAY, EWAN C · 2007 to 2011
$1.4M
NIDDK NIH HHS DK-077106NIDDK NIH HHS DK-20495NIDDK NIH HHS P30 DK-45735NIDDK NIH HHS R01 DK020495NIDDK NIH HHS R01 DK053181
6 · The paper itself

Abstract

A major side effect of insulin treatment of diabetes is weight gain, which limits patient compliance and may pose additional health risks. Although the mechanisms responsible for this weight gain are poorly understood, it has been suggested that there may be a link to the incidence of recurrent episodes of hypoglycemia. Here we present a rodent model of marked weight gain associated with weekly insulin-induced hypoglycemic episodes in the absence of diabetes. Insulin treatment caused a significant increase in both body weight and fat mass, accompanied by reduced motor activity, lowered thermogenesis in response to a cold challenge, and reduced brown fat uncoupling protein mRNA. However, there was no effect of insulin treatment on total food intake nor on hypothalamic neuropeptide Y or proopiomelanocortin mRNA expression, and insulin-treated animals did not become insulin-resistant. Our results suggest that repeated iatrogenic hypoglycemia leads to weight gain, and that such weight gain is associated with a multifaceted deficit in metabolic regulation rather than to a chronic increase in caloric intake.

Indexed as

AnimalsDisease Models, AnimalDose-Response Relationship, DrugDrug Administration ScheduleHyperphagiaHypoglycemiaHypoglycemic AgentsInsulinInsulin ResistanceMaleObesityPeriodicityRatsRats, Sprague-DawleySeverity of Illness IndexTime FactorsHypoglycemic AgentsInsulin

Identifiers

PMID23169787
PMCPMC3543569
OpenAlexW2049457334

What OpenQuestion holds

Textmetadata
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.