Evidence map›Paper›PMID 24646311›Full record

Trial reportDiabetic medicine : a journal of the British Diabetic Association2014

Diabetes autoantibodies do not predict progression to diabetes in adults: the Diabetes Prevention Program.

D Dabelea, Y Ma, W C Knowler, S Marcovina, C D Saudek, R Arakaki, N H White, S E Kahn, T J Orchard, R Goldberg and 3 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetic medicine : a journal of the British Diabetic Association, 2014. 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
1.4field-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.

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, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Latent autoimmune diabetes of the adult: current knowledge and uncertainty.Diabetic medicine : a journal of the British Diabetic Association · 2015
    Review
  12. Lymphocyte roles in metabolic dysfunction: of men and mice.Trends in endocrinology and metabolism: TEM · 2015
    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

13 authors at 10 institutions in 1 country.

D DabeleaDepartment of Epidemiology, University of Colorado at Denver, Colorado School of Public Health, Aurora, CO, USA.
Y Ma
W C Knowler
S Marcovina
C D Saudek
R Arakaki
N H White
S E Kahn
T J Orchard
R Goldberg
J Palmer
R F Hamman
Diabetes Prevention Program Research Group
Colorado School of Public Health · USVA Puget Sound Health Care System · USGeorge Washington University · USJohns Hopkins Medicine · USNational Institute of Diabetes and Digestive and Kidney Diseases · USNorthwest Clinical Research Center · USSt. Louis Children's Hospital · USUniversity of Hawaiʻi at Mānoa · USUniversity of Miami · USUniversity of Pittsburgh · US

Funding

PRIMARY PREVENTION TRIAL--DATA COORDINATING CENTERU01DK048489 · NIDDK · GEORGE WASHINGTON UNIVERSITY · PI JABLONSKI, KATHLEEN ANN, TEMPROSA, MARINELLA · 1994 to 2021
$84.8M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Karin E Bornfeldt · 1986 to 2026
$41.4M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
PRIMARY PREVENTION TRIAL (DPT-2)U01DK048380 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WALLIA, AMISHA · 1994 to 2021
$9.2M
Primary and Tertiary Prevention of type 2 diabetesZIADK075078 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI HANSON, ROBERT · 2012 to 2025
$4.6M
NIDDK NIH HHS P30 DK017047NIDDK NIH HHS P30 DK092950NIDDK NIH HHS U01 DK048380NIDDK NIH HHS U01 DK048489
6 · The paper itself

Abstract

aimsTo determine if the presence of diabetes autoantibodies predicts the development of diabetes among participants in the Diabetes Prevention Program.

methodsA total of 3050 participants were randomized into three treatment groups: intensive lifestyle intervention, metformin and placebo. Glutamic acid decarboxylase (GAD) 65 autoantibodies and insulinoma-associated-2 autoantibodies were measured at baseline and participants were followed for 3.2 years for the development of diabetes.

resultsThe overall prevalence of GAD autoantibodies was 4.0%, and it varied across racial/ethnic groups from 2.4% among Asian-Pacific Islanders to 7.0% among non-Hispanic black people. There were no significant differences in BMI or metabolic variables (glucose, insulin, HbA(1c), estimated insulin resistance, corrected insulin response) stratified by baseline GAD antibody status. GAD autoantibody positivity did not predict diabetes overall (adjusted hazard ratio 0.98; 95% CI 0.56-1.73) or in any of the three treatment groups. Insulinoma-associated-2 autoantibodies were positive in only one participant (0.033%).

conclusionsThese data suggest that 'diabetes autoimmunity', as reflected by GAD antibodies and insulinoma-associated-2 autoantibodies, in middle-aged individuals at risk for diabetes is not a clinically relevant risk factor for progression to diabetes.

Indexed as

Insulin ResistanceRisk Reduction BehaviorAutoantibodiesAutoimmunityBlood GlucoseDiabetes MellitusDisease ProgressionFemaleFollow-Up StudiesGlutamate DecarboxylaseHumansHypoglycemic AgentsInsulinInsulin SecretionIslets of LangerhansMaleAutoantibodiesBlood GlucoseGlutamate DecarboxylaseHypoglycemic AgentsInsulinMetforminReceptor-Like Protein Tyrosine Phosphatases, Class 8

Identifiers

PMID24646311
PMCPMC4138247
OpenAlexW2007268881

What OpenQuestion holds

Texttitle and abstract
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.