Evidence map›Paper›PMID 26640807›Full record

ArticleJournal of diabetes research2016

Relationship of Hemoglobin A1c with β Cell Function and Insulin Resistance in Newly Diagnosed and Drug Naive Type 2 Diabetes Patients.

Xinguo Hou, Jinbo Liu, Jun Song, Chuan Wang, Kai Liang, Yu Sun, Zeqiang Ma, Weifang Yang, Chengqiao Li, Xiuping Zhang and 12 more

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes research, 2016. 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
0.6field-weighted citation impact, top 29% 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

20 citing papers in PubMed, 34 citations in OpenAlex.

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  16. Significantly Decreased IsletInternational journal of endocrinology · 2021
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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

22 authors at 5 institutions in 1 country.

Xinguo HouDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Jinbo LiuDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Jun SongDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Chuan WangDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Kai LiangDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Yu SunDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Zeqiang MaChina National Heavy Duty Truck Group Corporation Hospital, Jinan, Shandong 250116, China.
Weifang YangLukang Hospital of Jining, Jining, Shandong 272141, China.
Chengqiao LiDepartment of Endocrinology, Second People's Hospital of Jining, Jining, Shandong 272049, China.
Xiuping ZhangShantui Community Health Center, Jining, Shandong 272000, China.
Peng LinDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Lei GongDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Meijian WangDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Fuqiang LiuDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Wenjuan LiDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Fei YanDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Jun QinDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Lingshu WangDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Jidong LiuDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Ruxing ZhaoDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Shihong ChenDepartment of Endocrinology, The Second Hospital of Shandong University, Jinan, Shandong 250012, China.
Li ChenDepartment of Endocrinology, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China.
Qilu Hospital of Shandong University · CNChina National Heavy Duty Truck Group (China) · CNJining First People's Hospital · CNSecond Hospital of Shandong University · CNShantui (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate changes in the glycated hemoglobin A1c (A1c) level and those in β cell function and insulin resistance in newly diagnosed and drug naive type 2 diabetes patients and to evaluate the relationship between them. DESIGN AND

methodsA total of 818 newly diagnosed diabetic individuals who were ≥ 40 years of age were recruited. The subjects were grouped by A1c values (<6.5%, 6.5-7%, 7-8%, 8-9%, and ≥ 9%). The homeostasis model assessment (HOMA) was used to evaluate pancreatic β cell function (HOMA-β) and insulin resistance (HOMA-IR). ANOVA, t-tests, and binary logistic regression analysis were used for data analysis.

resultsCompared with subjects with A1c values <6.5%, individuals with an A1c of 6.5-7% exhibited an increased HOMA-β index. However, the HOMA-β index was significantly decreased at A1c values ≥ 7% and further decreased by 9.3% and by 23.7%, respectively, at A1c values of 7-8% and 8-9%. As A1c increased to ≥ 9%, a 62% reduction in β cell function was observed, independently of age, gender, body mass index (BMI), blood pressure (BP), blood lipids, and hepatic enzyme levels. Meanwhile, insulin resistance was significantly increased with an increase in A1c values.

conclusionsElevated A1c values (≥ 7%) were associated with substantial reductions in β cell function.

Indexed as

AgedBlood GlucoseBlood PressureBody Mass IndexDiabetes Mellitus, Type 2FemaleGlucose Tolerance TestGlycated HemoglobinHumansInsulinInsulin ResistanceInsulin-Secreting CellsLipidsMaleMiddle AgedBlood GlucoseGlycated HemoglobinInsulinLipids

Identifiers

PMID26640807
PMCPMC4657079
OpenAlexW2100131032

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.