Evidence map›Paper›PMID 27208180›Full record

ArticleDiabetes2016

Accurate Measurement of Postprandial Glucose Turnover: Why Is It Difficult and How Can It Be Done (Relatively) Simply?

Robert A Rizza, Gianna Toffolo, Claudio Cobelli

Open access · bronzeAbstract readComparative Study
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. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.4field-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.

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

19 citing papers in PubMed, 41 citations in OpenAlex.

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  10. Estimating Increased EGP During Stress Response in Critically Ill Patients.Journal of diabetes science and technology · 2021
    Article
  11. A novel natural tracer method to measure complex carbohydrate metabolism.American journal of physiology. Endocrinology and metabolism · 2019
    Article
  12. Article
  13. Article
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  15. Article
  16. A novel triple-tracer approach to assess postprandial protein turnover.American journal of physiology. Endocrinology and metabolism · 2018
    Article
  17. Article
  18. 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

3 authors at 2 institutions in 2 countries.

Robert A RizzaDivision of Endocrinology, Metabolism, Diabetes, Nutrition, and Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN rizza.robert@mayo.edu.
Gianna ToffoloDepartment of Information Engineering, University of Padova, Padova, Italy.
Claudio CobelliDepartment of Information Engineering, University of Padova, Padova, Italy.
University of Padua · ITMayo Clinic in Arizona · US

Funding

MECHANISMS OF INSULIN RESISTANCE IN MANR01DK029953 · NIDDK · UNIVERSITY OF VIRGINIA · PI BASU, RITA · 1986 to 2024
$11.5M
MECHANISMS OF INSULIN RESISTANCE in ManR37DK029953 · NIDDK · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI RIZZA, ROBERT A. · 1996 to 2003
$1.8M
The Effect of Bariatric Surgery on Carbohydrate MetabolismR01DK082396 · NIDDK · MAYO CLINIC ROCHESTER · PI VELLA, ADRIAN · 2010 to 2014
$1.6M
NIDDK NIH HHS R01 DK029953NIDDK NIH HHS R01 DK082396NIDDK NIH HHS R37 DK029953
6 · The paper itself

Abstract

Fasting hyperglycemia occurs when an excessive rate of endogenous glucose production (EGP) is not accompanied by an adequate compensatory increase in the rate of glucose disappearance (Rd). The situation following food ingestion is more complex as the amount of glucose that reaches the circulation for disposal is a function of the systemic rate of appearance of the ingested glucose (referred to as the rate of meal appearance [Rameal]), the pattern and degree of suppression of EGP, and the rapidity of stimulation of the Rd In an effort to measure these processes, Steele et al. proposed what has come to be referred to as the dual-tracer method in which the ingested glucose is labeled with one tracer while a second tracer is infused intravenously at a constant rate. Unfortunately, subsequent studies have shown that although this approach is technically simple, the marked changes in plasma specific activity or the tracer-to-tracee ratio, if stable tracers are used, introduce a substantial error in the calculation of Rameal, EGP, and Rd, thereby leading to incorrect and at times misleading results. This Perspective discusses the causes of these so-called "nonsteady-state" errors and how they can be avoided by the use of the triple-tracer approach.

Indexed as

Carbohydrate MetabolismIntestinal AbsorptionModels, BiologicalAlgorithmsAnimalsBlood GlucoseCarbon IsotopesCarbon RadioisotopesDeuteriumDietary CarbohydratesGluconeogenesisGlucoseGlycogenGlycogenolysisGlycolysisHumansBlood GlucoseCarbon IsotopesCarbon RadioisotopesDeuteriumDietary CarbohydratesGlucoseGlycogenTritium

Identifiers

PMID27208180
PMCPMC4839208
OpenAlexW2341790619

What OpenQuestion holds

Textmetadata
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.