Evidence map›Paper›PMID 24030069›Full record

ArticleDiabetologia2013

Longitudinal changes in insulin sensitivity and beta cell function between women with and without a history of gestational diabetes mellitus.

Anny H Xiang, Miwa Takayanagi, Mary Helen Black, Enrique Trigo, Jean M Lawrence, Richard M Watanabe, Thomas A Buchanan

Open access · greenAbstract readComparative Study
In one paragraph

Article in Diabetologia, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. A Review of Modulation of Gut Microbiota to Mitigate Gestational Diabetes: Implications for Maternal and Child Health.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  5. Article
  6. Observational
  7. Review
  8. Article
  9. Article
  10. Article
  11. Beta-cell compensation and gestational diabetes.The Journal of biological chemistry · 2023
    Review
  12. Article
  13. Epigenetic Links between Microbiota and Gestational Diabetes.International journal of molecular sciences · 2022
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
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 2 institutions in 1 country.

Anny H XiangDepartment of Research & Evaluation, Kaiser Permanente Southern California, 100 South Los Robles, 5th Floor, Pasadena, CA, 91101, USA, anny.h.xiang@kp.org.
Miwa Takayanagi
Mary Helen Black
Enrique Trigo
Jean M Lawrence
Richard M Watanabe
Thomas A Buchanan
Kaiser Permanente · USUniversity of Southern California · US

Funding

ZOPOLRESTAT IN NORMOTENSIVE, TYPE 1 DIA WITH INCIPIENT NEPHROPATHYM01RR000043 · NCRR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ZAIA, JOHN A · 1985 to 2010
$76.4M
Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
LOS ANGELES BASIN CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR031986 · NCRR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2010 to 2011
$21.1M
Genetics of Beta Cell Failure in Mexican AmericansR01DK061628 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A, XIANG, ANNY H · 2003 to 2012
$10.0M
NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1-TR000130NCRR NIH HHS M01 RR000043NCRR NIH HHS M01-RR-00043NCRR NIH HHS UL1 RR031986NCRR NIH HHS UL1-RR-031986NIDDK NIH HHS DK-061628NIDDK NIH HHS R01 DK061628
6 · The paper itself

Abstract

aims/hypothesisThe aim of the study was to compare longitudinal changes in insulin sensitivity (SI) and beta cell function between women with and without a history of gestational diabetes mellitus (GDM).

methodsThe prospective follow-up cohort included 235 parous non-diabetic Mexican-American women, 93 with and 142 without a history of GDM. The participants underwent dual-energy x-ray absorptiometry, OGTTs and IVGTTs at baseline and at a median of 4.1 years follow-up. The baseline values and rates of change of metabolic measures were compared between groups.

resultsAt baseline, women with prior GDM (mean age 36.3 years) had similar values of SI but higher percentages of body fat and trunk fat (p ≤ 0.02), a lower acute insulin response and poorer beta cell compensation (disposition index [DI]) (p < 0.0001) than women without GDM (mean age 37.9 years). During the follow-up, women with GDM had a faster decline in SI (p = 0.02) and DI (p = 0.02) than their counterparts without GDM, with no significant differences in changes of weight or fat (p > 0.50). Adjustment for baseline age, adiposity, calorie intake, physical activity, age at first pregnancy, additional pregnancies and changes in adiposity during follow-up increased the between-group differences in the rates of change of SI and DI (p ≤ 0.003). CONCLUSIONS/

interpretationMexican-American women with recent GDM had a faster deterioration in insulin sensitivity and beta cell compensation than their parous counterparts without GDM. The differences were not explained by differences in adiposity, suggesting more deleterious effects of existing fat and/or reduced beta cell robustness in women with GDM.

Indexed as

Insulin ResistanceMexican AmericansAbsorptiometry, PhotonAdultBlood GlucoseBody Mass IndexBody WeightDiabetes, GestationalFemaleFollow-Up StudiesGenetic Predisposition to DiseaseGenetic VariationGlucose Tolerance TestHumansInsulin-Secreting CellsPregnancyBlood Glucose

Identifiers

PMID24030069
PMCPMC4139094
OpenAlexW2007125806

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.