Evidence map›Paper›PMID 26725077›Full record

ArticleInternational urology and nephrology2016

The impact of basal insulin analogues on glucose variability in patients with type 2 diabetes undergoing renal replacement therapy for end-stage renal disease.

Octavian Savu, Viviana Elian, Oana Steriade, Ileana Teodoru, Stela Mihut, Catalin Tacu, Adrian Covic, Cristian Serafinceanu

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In one paragraph

Article in International urology and nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Diabetes and Glucose Management in People on Hemodialysis.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  3. Article
  4. Review
  5. Article
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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

8 authors at 1 institution in 1 country.

Octavian Savu"N.C. Paulescu" Institute of Diabetes, Nutrition and Metabolic Diseases, 5-7 Ion Movila, 020475, Bucharest, Romania. savu.octavian@gmail.com.
Viviana Elian"N.C. Paulescu" Institute of Diabetes, Nutrition and Metabolic Diseases, 5-7 Ion Movila, 020475, Bucharest, Romania.
Oana Steriade"N.C. Paulescu" Institute of Diabetes, Nutrition and Metabolic Diseases, 5-7 Ion Movila, 020475, Bucharest, Romania.
Ileana Teodoru"N.C. Paulescu" Institute of Diabetes, Nutrition and Metabolic Diseases, 5-7 Ion Movila, 020475, Bucharest, Romania.
Stela MihutS.C. Diaverum Romania SRL, Bucharest, Romania.
Catalin TacuS.C. Diaverum Romania SRL, Bucharest, Romania.
Adrian CovicC.I. Parhon, Hospital, Iasi, Romania.
Cristian Serafinceanu"N.C. Paulescu" Institute of Diabetes, Nutrition and Metabolic Diseases, 5-7 Ion Movila, 020475, Bucharest, Romania.
Spitalul Clinic Dr. C. I. Parhon · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to analyze the impact of basal insulin analogues on glucose variability (GV) in patients with type 2 diabetes (DM) undergoing renal replacement therapy.

methodsFourteen subjects on insulin therapy for at least 6 months (detemir, n = 7 vs. glargine, n = 7) were sequentially enrolled in this prospective study. Continuous glucose monitoring system (CGMS Gold, Dex Com 7+) was applied for 5 days, over 3 consecutive sessions of hemodialysis (HD). Various glycemic profiles (coefficient of variation-CV of mean glucose) were compared between the day on (HD-on) and the day off (HD-off) dialysis. The CV of at least 3 values of HbA1c (HPLC) since replacement therapy has been applied to assay the long-term GV. Endogenous insulin and insulin resistance (HOMA using fasting glucose and C-peptide levels), fasting lipid profile, quantitative C-reactive protein (CRP) and ferritin (values adjusted for Hb) were measured in serum at inclusion.

resultsThe overnight HD-off and HD-on short-term (CV CGMS) GV, overall long-term (CV of HbA1c) GV, CRP and ferritin were reduced in subjects treated with detemir (paired t test, p = 0.0001, 0.0011, 0.036, <0.001, and <0.001 between groups). All participants were insulin-resistant (HOMA-IR > 3).

conclusionsInsulin-resistant patients with type 2 diabetes undergoing hemodialysis for end-stage renal disease on insulin detemir exhibit lower glycemic variability and pro-inflammatory profile than with insulin glargine.

Indexed as

Renal Replacement TherapyAgedBlood GlucoseDiabetes Mellitus, Type 2Dose-Response Relationship, DrugFemaleFollow-Up StudiesHumansHypoglycemic AgentsInjections, SubcutaneousInsulin GlargineKidney Failure, ChronicMaleMiddle AgedPrognosisProspective StudiesBlood GlucoseHypoglycemic AgentsInsulin GlargineDiabetesDialysisESRDGlycemic variabilityInsulin

Identifiers

PMID26725077
OpenAlexW2206735100

What OpenQuestion holds

Textmetadata
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Registered trials

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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.