Evidence map›Paper›PMID 26743209›Full record

ReviewThe Journal of endocrinology2016

Current understanding of metformin effect on the control of hyperglycemia in diabetes.

Hongying An, Ling He

2 registry-linked trialsAbstract readReview
In one paragraph

Review in The Journal of endocrinology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 92 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT05653895 nacompletednot on this mapstarted 2022, after this paper: background citation

Independent and Additive Effects Of Micronutrients With Metformin In Patients With PCOS:A Double Blind Randomized Placebo Controlled Trial

TypeinterventionalSponsorKhyber Medical University PeshawarRan2022 to 2024Enrolled120ConditionsPCOSArmsResveratrol, Metformin, Acetyl-L-Carnitin, L Arginine, Co-Q10
NCT05767515 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effects of Acetyl L--Carnitine and Myo/Chiro-Inositol on Improving Ovulation, Pregnancy Rate, Ovarian Function and Perceived Stress Response in Patients With PCOS

TypeinterventionalSponsorKhyber Medical University PeshawarRan2023 to 2024Enrolled120ConditionsInfertility, Female, PCOS (Polycystic Ovary Syndrome) of Bilateral OvariesArmsmetformin
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Glucagon-Like Peptide-1 Receptor Agonists in Type 2 Diabetes Mellitus and Cardiovascular Disease: The Past, Present, and Future.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2022
    Pooled it
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  16. The Gut Microbiota-Related Antihyperglycemic Effect of Metformin.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
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32 more citing papers are in PubMed but not listed here.

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

2 authors.

Hongying AnDivisions of Metabolism and EndocrinologyDepartment of Pediatrics, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, Maryland 21287, USA.
Ling HeDivisions of Metabolism and EndocrinologyDepartment of Pediatrics, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, Maryland 21287, USA heling@jhmi.edu.

Funding

Activation of the cAMP-PKA pathway antagonizes metformin actionR01DK107641 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI HE, LING · 2016 to 2020
$1.8M
The Distinct Role of CBP and p300 in Regulating Hepatic Glucose ProductionR00DK085142 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI HE, LING · 2011 to 2013
$726k
NIDDK NIH HHS R00 DK085142NIDDK NIH HHS R00DK085142NIDDK NIH HHS R01 DK107641NIDDK NIH HHS R01DK107641
6 · The paper itself

Abstract

Metformin is a first-line oral anti-diabetic agent that has been used clinically to treat patients with type 2 diabetes for over 60 years. Due to its efficacy in therapy and affordable price, metformin is taken by more than 150 million people each year. Metformin improves hyperglycemia mainly through the suppression of hepatic gluconeogenesis along with the improvement of insulin signaling. However, its mechanism of action remains partially understood and controversial, especially in regard to the role of AMPK in metformin's action and the mechanism of AMPK activation. In this review, we discuss recent advances in the understanding of metformin's suppression of hepatic glucose production and the mechanism related to the improvement of insulin signaling.

Indexed as

Hypoglycemic AgentsAMP-Activated Protein KinasesDiabetes Mellitus, Type 2Enzyme ActivationEnzyme InhibitorsGastrointestinal MicrobiomeGluconeogenesisGlucoseGlycerolphosphate DehydrogenaseHumansHyperglycemiaInsulinLiverMetforminSignal TransductionAMP-Activated Protein KinasesEnzyme InhibitorsGlucoseGlycerolphosphate DehydrogenaseHypoglycemic AgentsInsulinMetforminglucose metabolisminsulin actionlivermetabolism

Identifiers

PMID26743209
PMCPMC5077246

What OpenQuestion holds

Texttitle and abstract
LicenceTDM
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.