Evidence map›Paper›PMID 25249668›Full record

ArticleDiabetes care2014

We can change the natural history of type 2 diabetes.

Lawrence S Phillips, Robert E Ratner, John B Buse, Steven E Kahn

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05040087 (Changing the Natural History of Type 2 Diabetes), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
5.6field-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.

NCT05040087 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

Changing the Natural History of Type 2 Diabetes ("CHANGE" Study)

TypeinterventionalSponsorFoundation for Atlanta Veterans Education and Research, Inc.Ran2021 to 2028Enrolled127ConditionsType 2 DiabetesArmsIntensification of diabetes medication based largely on HbA1c levels, Intensification of diabetes medication based on glucose levels
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Environmental Risk Factors for Developing Type 2 Diabetes Mellitus: A Systematic Review.International journal of environmental research and public health · 2018
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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

4 authors at 4 institutions in 1 country.

Lawrence S PhillipsAtlanta VA Medical Center, Decatur, GA Division of Endocrinology and Metabolism, Department of Medicine, Emory University School of Medicine, Atlanta, GA lawrence.phillips@emory.edu.
Robert E RatnerAmerican Diabetes Association, Alexandria, VA.
John B BuseDivision of Endocrinology and Metabolism, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC.
Steven E KahnVA Puget Sound Health Care System, Seattle, WA Division of Metabolism, Endocrinology and Nutrition, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
American Diabetes Association · USAtlanta VA Medical Center · USUniversity of North Carolina at Chapel Hill · USVA Puget Sound Health Care System · US

Funding

Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Sakeneh Zraika · 1986 to 2026
$41.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
UNC Clinical and Translational Science AwardUL1TR000083 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$11.6M
Screening for IGT: Glucose Challenge vs Predictive ModelR18DK066204 · NIDDK · EMORY UNIVERSITY · PI PHILLIPS, LAWRENCE S · 2004 to 2007
$2.9M
Reach, Outcomes and System Impacts of the VA's National Weight Loss Program, MOVER21DK099716 · NIDDK · EMORY UNIVERSITY · PI PHILLIPS, LAWRENCE S · 2014 to 2015
$321k
NCATS NIH HHS UL1 TR000083NCATS NIH HHS UL1TR000083NCATS NIH HHS UL1 TR000454NCRR NIH HHS UL1 RR025008NIDDK NIH HHS DK066204NIDDK NIH HHS P30 DK017047NIDDK NIH HHS R18 DK066204NIDDK NIH HHS R21 DK099716
6 · The paper itself

Abstract

As diabetes develops, we currently waste the first ∼10 years of the natural history. If we found prediabetes and early diabetes when they first presented and treated them more effectively, we could prevent or delay the progression of hyperglycemia and the development of complications. Evidence for this comes from trials where lifestyle change and/or glucose-lowering medications decreased progression from prediabetes to diabetes. After withdrawal of these interventions, there was no "catch-up"-cumulative development of diabetes in the previously treated groups remained less than in control subjects. Moreover, achieving normal glucose levels even transiently during the trials was associated with a substantial reduction in subsequent development of diabetes. These findings indicate that we can change the natural history through routine screening to find prediabetes and early diabetes, combined with management aimed to keep glucose levels as close to normal as possible, without hypoglycemia. We should also test the hypothesis with a randomized controlled trial.

Indexed as

Disease ProgressionDiabetes ComplicationsDiabetes Mellitus, Type 2Disease ManagementEarly DiagnosisGlycated HemoglobinHumansHyperglycemiaHypoglycemic AgentsPrediabetic StateGlycated HemoglobinHypoglycemic Agents

Identifiers

PMID25249668
PMCPMC4170125
OpenAlexW1976814223

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.