Evidence map›Paper›PMID 23732369›Full record

ReviewMinerva endocrinologica2013

Treating type 1 diabetes: from strategies for insulin delivery to dual hormonal control.

A L McCall, L S Farhy

Open access · greenAbstract readHistorical ArticleReview
In one paragraph

Review in Minerva endocrinologica, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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

20 citing papers in PubMed, 53 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Observational
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  7. Article
  8. Review
  9. Nanotheranostics: application of nanosensors in diabetes management.Journal of diabetes and metabolic disorders · 2023
    Review
  10. Insulin pumps in children - a systematic review.World journal of clinical pediatrics · 2022
    Article
  11. Article
  12. Exosome-mediated improvement in membrane integrity and muscle function in dystrophic mice.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
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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

2 authors at 1 institution in 1 country.

A L McCallDepartment of Medicine and Center for Diabetes Technology, University of Virginia, Charlottesville, VA 22908, USA. alm3j@virginia.edu
L S Farhy
University of Virginia · US

Funding

Pancreatic endocrine network control of glucagon counterregulationR01DK082805 · NIDDK · UNIVERSITY OF VIRGINIA · PI FARHI, LEON S, MCCALL, ANTHONY L · 2010 to 2013
$1.3M
NIDDK NIH HHS R01 DK082805
6 · The paper itself

Abstract

Type 1 diabetes is a disorder where slow destruction of pancreatic β-cells occurs through autoimmune mechanisms. The result is a progressive and ultimately complete lack of endogenous insulin. Due to β-cell lack, secondary abnormalities in glucagon and likely in incretins occur. These multiple hormonal abnormalities cause metabolic instability and extreme glycemic variability, which is the primary phenotype. As the disease progresses patients often develop hypoglycemia unawareness and defects in their counterregulatory defenses. Intensive insulin therapy may thus lead to 3-fold excess of severe hypoglycemia and severely hinder the effective and safe control of hyperglycemia. The main goal of the therapy for type 1 diabetes has long been physiological mimicry of normal insulin secretion based on monitoring which requires considerable effort and understanding of the underlying physiology. Attainment of this goal is challenged by the nature of the disease and our current lack of means to fully repair the abnormal endocrine pancreas interactive functions. As a result, various insulin preparations have been developed to partially compensate for the inability to deliver timely exogenous insulin directly to the portal/intrapancreatic circulation. It remains an ongoing task to identify the ideal routes and regimens of their delivery and potentially that of other hormones to restore the deficient and disordered hormonal environment of the pancreas to achieve a near normal metabolic state. Several recent technological advances help addressing these goals, including the rapid progress in insulin pumps, continuous glucose sensors, and ultimately the artificial pancreas closed-loop technology and the recent start of dual-hormone therapies.

Indexed as

Blood Glucose Self-MonitoringDiabetes Mellitus, Type 1Drug Delivery SystemsGlucagonHistory, 20th CenturyHumansHypoglycemic AgentsInsulinInsulin Infusion SystemsGlucagonHypoglycemic AgentsInsulin

Identifiers

PMID23732369
PMCPMC4220674
OpenAlexW138744020

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.