Evidence map›Paper›PMID 23704680›Full record

ArticleDiabetes care2013

Personalized management of hyperglycemia in type 2 diabetes: reflections from a Diabetes Care Editors' Expert Forum.

Itamar Raz, Matthew C Riddle, Julio Rosenstock, John B Buse, Silvio E Inzucchi, Philip D Home, Stefano Del Prato, Ele Ferrannini, Juliana C N Chan, Lawrence A Leiter and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Diabetes care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 5 pooled it
15.1field-weighted citation impact, top 1% 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

67 citing papers in PubMed, 5 syntheses or guidelines pooled it, 141 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Advances in diabetes technology within the digital diabetes ecosystem.Journal of managed care & specialty pharmacy · 2024
    Review
  16. Article
  17. Review
  18. Article
  19. Inequalities in Diabetes Mortality Between Microregions in Hungary.International journal of public health · 2023
    Article
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 12 institutions in 6 countries.

Itamar RazDiabetes Unit, Department of Internal Medicine, Hadassah Hebrew University Hospital, Jerusalem, Israel.
Matthew C Riddle
Julio Rosenstock
John B Buse
Silvio E Inzucchi
Philip D Home
Stefano Del Prato
Ele Ferrannini
Juliana C N Chan
Lawrence A Leiter
Derek Leroith
Ralph Defronzo
William T Cefalu
University of Pisa · ITChinese University of Hong Kong · CNHebrew University of Jerusalem · ILLouisiana State University System · USNewcastle University · GBOregon Health & Science University · USSouthwestern Medical Center · USSt. Michael's Hospital · CATechnion – Israel Institute of Technology · ILThe University of Texas Health Science Center at San Antonio · USUniversity of North Carolina at Chapel Hill · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In June 2012, 13 thought leaders convened in a Diabetes Care Editors' Expert Forum to discuss the concept of personalized medicine in the wake of a recently published American Diabetes Association/European Association for the Study of Diabetes position statement calling for a patient-centered approach to hyperglycemia management in type 2 diabetes. This article, an outgrowth of that forum, offers a clinical translation of the underlying issues that need to be considered for effectively personalizing diabetes care. The medical management of type 2 diabetes has become increasingly complex, and its complications remain a great burden to individual patients and the larger society. The burgeoning armamentarium of pharmacological agents for hyperglycemia management should aid clinicians in providing early treatment to delay or prevent these complications. However, trial evidence is limited for the optimal use of these agents, especially in dual or triple combinations. In the distant future, genotyping and testing for metabolomic markers may help us to better phenotype patients and predict their responses to antihyperglycemic drugs. For now, a personalized ("n of 1") approach in which drugs are tested in a trial-and-error manner in each patient may be the most practical strategy for achieving therapeutic targets. Patient-centered care and standardized algorithmic management are conflicting approaches, but they can be made more compatible by recognizing instances in which personalized A1C targets are warranted and clinical circumstances that may call for comanagement by primary care and specialty clinicians.

Indexed as

Diabetes Mellitus, Type 2HyperglycemiaPatient-Centered CareHumansPrecision Medicine

Identifiers

PMID23704680
PMCPMC3661796
OpenAlexW2091977092

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.