Evidence map›Paper›PMID 26512024›Full record

ArticleDiabetes2016

Variations in Brain Volume and Growth in Young Children With Type 1 Diabetes.

Paul K Mazaika, Stuart A Weinzimer, Nelly Mauras, Bruce Buckingham, Neil H White, Eva Tsalikian, Tamara Hershey, Allison Cato, Tandy Aye, Larry Fox and 8 more

4 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Diabetes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
5.1field-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.

NCT03428932 nacompletednot on this mapstarted 2018, after this paper: background citation

Glycemic Control and the Brain in Children With Type 1 Diabetes

TypeinterventionalSponsorNemours Children's ClinicRan2018 to 2019Enrolled46ConditionsType 1 Diabetes MellitusArmsClosed Loop (Medtronic 670G), Standard Care
NCT03461510 nacompletednot on this mapstarted 2017, after this paper: background citation

Dysglycemia & Obesity: Impact on the Brain in Adolescents With Type 2 Diabetes

TypeinterventionalSponsorNemours Children's ClinicRan2017 to 2019Enrolled18ConditionsType 2 Diabetes Mellitus, Obesity, Pediatric Obesity, Insulin ResistanceArmsHyperglycemic clamp, Hyperinsulinemic Euglycemic clamp
NCT05698875 nacompletednot on this mapstarted 2023, after this paper: background citation

The Breakfast Rise, Education and Knowledge Study in Children and Young People Who Have Type 1 Diabetes (T1D): The BREAK Study

TypeinterventionalSponsorUniversity of StirlingRan2023 to 2023Enrolled48Conditionstype1diabetesArmsBreakfast meals
NCT06546657 completednot on this mapstarted 2021, after this paper: background citation

An Investigation Into Diurnal Variability in Glucose Levels in Paediatric Patients With Type 1 Diabetes (T1D) and Their Responses to Different Food Compositions

TypeobservationalSponsorUniversity of StirlingRan2021 to 2021Enrolled96ConditionsType 1 DiabetesArmsBreakfast
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 82 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 1 country.

Paul K MazaikaCenter for Interdisciplinary Brain Sciences Research, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA mazaika@stanford.edu.
Stuart A WeinzimerDepartment of Pediatrics, Yale University School of Medicine, New Haven, CT.
Nelly MaurasDepartment of Pediatrics, Division of Endocrinology, Diabetes and Metabolism, Nemours Children's Health System, Jacksonville, FL.
Bruce BuckinghamDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA.
Neil H WhiteDepartment of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO.
Eva TsalikianDepartment of Pediatric Endocrinology, The University of Iowa, Iowa City, IA.
Tamara HersheyDepartment of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO Department of Radiology, Washington University in St. Louis School of Medicine, St. Louis, MO Department of Neurology, Washington University in St. Louis School of Medicine, St. Louis, MO.
Allison CatoDivision of Neurology, Nemours Children's Health System, Jacksonville, FL.
Tandy AyeDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA.
Larry FoxDepartment of Pediatrics, Division of Endocrinology, Diabetes and Metabolism, Nemours Children's Health System, Jacksonville, FL.
Darrell M WilsonDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA.
Michael J TanseyDepartment of Pediatric Endocrinology, The University of Iowa, Iowa City, IA.
William TamborlaneDepartment of Pediatrics, Yale University School of Medicine, New Haven, CT.
Daniel PengCenter for Interdisciplinary Brain Sciences Research, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA.
Mira RamanCenter for Interdisciplinary Brain Sciences Research, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA.
Matthew MarzelliCenter for Interdisciplinary Brain Sciences Research, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA Department of Bioengineering, Stanford University School of Medicine, Stanford, CA Department of Radiology, Stanford University School of Medicine, Stanford, CA.
Allan L ReissCenter for Interdisciplinary Brain Sciences Research, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA Department of Pediatrics, Stanford University School of Medicine, Stanford, CA Department of Radiology, Stanford University School of Medicine, Stanford, CA.
Diabetes Research in Children Network (DirecNet)
Stanford University · USNemours Children's Health System · USUniversity of Iowa · USWashington University in St. Louis · USYale University · US

Funding

Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Type 1 diabetes and the brain in children: Metabolic interventionsR01HD078463 · NICHD · NEMOURS CHILDREN'S CLINIC · PI MAURAS, NELLY, REISS, ALLAN L · 2014 to 2018
$9.9M
Coordinating Center: Glucose Sensors in Type I DiabetesU01HD041890 · NICHD · JAEB CENTER FOR HEALTH RESEARCH, INC. · PI BECK, ROY W · 2001 to 2006
$4.1M
Yale Study of Closed-Loop Automated Glucose Control for Hypoglycemia PreventionU10HD041906 · NICHD · YALE UNIVERSITY · PI WEINZIMER, STUART ALAN · 2001 to 2011
$3.6M
Prevention of Nocturnal Hypoglycemia: Effect on Neurologic Outcome in ToddlersU10HD041908 · NICHD · STANFORD UNIVERSITY · PI BUCKINGHAM, BRUCE A · 2001 to 2011
$3.5M
Prevention of Hypoglycemia and Associated Complications in Type 1 DiabetesU10HD041915 · NICHD · UNIVERSITY OF IOWA · PI TSALIKIAN, EVA · 2001 to 2011
$3.4M
Hypoglycemia in Children and Adolescents with T1DM: Mechanisms and PreventionU10HD041918 · NICHD · NEMOURS CHILDREN'S CLINIC · PI MAURAS, NELLY · 2001 to 2011
$3.1M
Diabetes Research in Children Network (DirecNet)U10HD056526 · NICHD · WASHINGTON UNIVERSITY · PI WHITE, NEIL H. · 2007 to 2011
$1.4M
NCRR NIH HHS UL1 RR024992NICHD NIH HHS HD-41906NICHD NIH HHS HD-41908NICHD NIH HHS HD-41915NICHD NIH HHS HD-41918NICHD NIH HHS HD-56526NICHD NIH HHS R01 HD078463NICHD NIH HHS R01-HD-078463-01A1NICHD NIH HHS U01 HD041890NICHD NIH HHS U01-HD-41890NICHD NIH HHS U10 HD041906NICHD NIH HHS U10 HD041908NICHD NIH HHS U10 HD041915NICHD NIH HHS U10 HD041918NICHD NIH HHS U10 HD056526
6 · The paper itself

Abstract

Early-onset type 1 diabetes may affect the developing brain during a critical window of rapid brain maturation. Structural MRI was performed on 141 children with diabetes (4-10 years of age at study entry) and 69 age-matched control subjects at two time points spaced 18 months apart. For the children with diabetes, the mean (±SD) HbA1c level was 7.9 ± 0.9% (63 ± 9.8 mmol/mol) at both time points. Relative to control subjects, children with diabetes had significantly less growth of cortical gray matter volume and cortical surface area and significantly less growth of white matter volume throughout the cortex and cerebellum. For the population with diabetes, the change in the blood glucose level at the time of scan across longitudinal time points was negatively correlated with the change in gray and white matter volumes, suggesting that fluctuating glucose levels in children with diabetes may be associated with corresponding fluctuations in brain volume. In addition, measures of hyperglycemia and glycemic variation were significantly negatively correlated with the development of surface curvature. These results demonstrate that early-onset type 1 diabetes has widespread effects on the growth of gray and white matter in children whose blood glucose levels are well within the current treatment guidelines for the management of diabetes.

Indexed as

Age FactorsBlood GlucoseBrainCase-Control StudiesChildChild, PreschoolDiabetes Mellitus, Type 1FemaleGray MatterHumansHyperglycemiaLongitudinal StudiesMagnetic Resonance ImagingMaleOrgan SizeWhite MatterBlood Glucose

Identifiers

PMID26512024
PMCPMC4747456
OpenAlexW1833930158

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.