Evidence map›Paper›PMID 27253149›Full record

ArticleDiabetes/metabolism research and reviews2017

Glucose time series complexity as a predictor of type 2 diabetes.

Carmen Rodríguez de Castro, Luis Vigil, Borja Vargas, Emilio García Delgado, Rafael García Carretero, Julián Ruiz-Galiana, Manuel Varela

Abstract read
In one paragraph

Article in Diabetes/metabolism research and reviews, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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.

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

11 citing papers in PubMed.

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  10. Glucose time series complexity as a predictor of type 2 diabetes.Diabetes/metabolism research and reviews · 2017
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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

7 authors.

Carmen Rodríguez de CastroInternal Medicine, Hospital Universitario de Mostoles, Mostoles, Spain.
Luis VigilInternal Medicine, Hospital Universitario de Mostoles, Mostoles, Spain.
Borja VargasInternal Medicine, Universidad Europea de Madrid, Madrid, Spain.
Emilio García DelgadoInternal Medicine, Hospital Universitario de Mostoles, Mostoles, Spain.
Rafael García CarreteroInternal Medicine, Hospital Universitario de Mostoles, Mostoles, Spain.
Julián Ruiz-GalianaInternal Medicine, Hospital Universitario de Mostoles, Mostoles, Spain.
Manuel VarelaInternal Medicine, Hospital Universitario de Mostoles, Mostoles, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplexity analysis of glucose profile may provide valuable information about the gluco-regulatory system. We hypothesized that a complexity metric (detrended fluctuation analysis, DFA) may have a prognostic value for the development of type 2 diabetes in patients at risk.

methodsA total of 206 patients with any of the following risk factors (1) essential hypertension, (2) obesity or (3) a first-degree relative with a diagnosis of diabetes were included in a survival analysis study for a diagnosis of new onset type 2 diabetes. At inclusion, a glucometry by means of a Continuous Glucose Monitoring System was performed, and DFA was calculated for a 24-h glucose time series. Patients were then followed up every 6 months, controlling for the development of diabetes.

resultsIn a median follow-up of 18 months, there were 18 new cases of diabetes (58.5 cases/1000 patient-years). DFA was a significant predictor for the development of diabetes, with ten events in the highest quartile versus one in the lowest (log-rank test chi2 = 9, df = 1, p = 0.003), even after adjusting for other relevant clinical and biochemical variables. In a Cox model, the risk of diabetes development increased 2.8 times for every 0.1 DFA units. In a multivariate analysis, only fasting glucose, HbA

conclusionsDetrended fluctuation analysis significantly performed as a harbinger of type 2 diabetes development in a high-risk population. Complexity analysis may help in targeting patients who could be candidates for intensified treatment. Copyright © 2016 The Authors. Diabetes/Metabolism Research and Reviews Published by John Wiley & Sons Ltd.

Indexed as

AdultAgedAged, 80 and overBlood GlucoseDiabetes Mellitus, Type 2FemaleFollow-Up StudiesGlycated HemoglobinHumansHypertensionMaleMiddle AgedModels, TheoreticalMonitoring, PhysiologicObesityPrevalenceBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humancomplexitycontinuous glucose monitoringdetrended fluctuation analysistype 2 diabetes

Identifiers

PMID27253149
PMCPMC5333459

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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.