Evidence map›Paper›PMID 27338739›Full record

ArticleDiabetes2016

A Predictive Metabolic Signature for the Transition From Gestational Diabetes Mellitus to Type 2 Diabetes.

Amina Allalou, Amarnadh Nalla, Kacey J Prentice, Ying Liu, Ming Zhang, Feihan F Dai, Xian Ning, Lucy R Osborne, Brian J Cox, Erica P Gunderson and 1 more

2 registry-linked trialsAbstract read
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. It is linked to 2 registered trials, which are not on this map. Cited by 98 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 8 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.

NCT01967030 active not recruitingnot on this map

SWIFT: Study of Women, Infant Feeding and Type 2 Diabetes After GDM Pregnancy

TypeobservationalSponsorKaiser PermanenteRan2008 to 2030Enrolled1,035ConditionsType 2 Diabetes
NCT04190199 unknown statusnot on this mapstarted 2020, after this paper: background citation

Exploring Nutritype Signature of Type 2 Diabetes Risks in Women Post-Gestational Diabetes Mellitus

TypeobservationalSponsorUniversiti Putra MalaysiaRan2020 to 2021Enrolled270ConditionsType 2 Diabetes, Gestational DiabetesArmsObservational
3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Prediction Models for Maternal and Offspring Short- and Long-Term Outcomes Following Gestational Diabetes: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Amina AllalouDepartment of Medicine, University of Toronto, Ontario, Canada.
Amarnadh NallaDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark Department of Physiology, University of Toronto, Ontario, Canada.
Kacey J PrenticeDepartment of Physiology, University of Toronto, Ontario, Canada.
Ying LiuDepartment of Physiology, University of Toronto, Ontario, Canada.
Ming ZhangDepartment of Physiology, University of Toronto, Ontario, Canada.
Feihan F DaiDepartment of Physiology, University of Toronto, Ontario, Canada.
Xian NingKaiser Permanente Northern California, Division of Research, Oakland, CA.
Lucy R OsborneDepartment of Medicine, University of Toronto, Ontario, Canada Department of Molecular Genetics, University of Toronto, Ontario, Canada.
Brian J CoxDepartment of Physiology, University of Toronto, Ontario, Canada Department of Obstetrics and Gynaecology, University of Toronto, Ontario, Canada.
Erica P GundersonKaiser Permanente Northern California, Division of Research, Oakland, CA erica.gunderson@kp.org michael.wheeler@utoronto.ca.
Michael B WheelerDepartment of Medicine, University of Toronto, Ontario, Canada Department of Physiology, University of Toronto, Ontario, Canada erica.gunderson@kp.org michael.wheeler@utoronto.ca.

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Lactation and Glucose Tolerance After GDM PregnancyR01HD050625 · NICHD · KAISER FOUNDATION RESEARCH INSTITUTE · PI GUNDERSON, ERICA PAULINE · 2007 to 2011
$3.1M
CIHR FDN-143219CIHR MOP-136810NCRR NIH HHS UL1 RR024131NICHD NIH HHS R01 HD050625
6 · The paper itself

Abstract

Gestational diabetes mellitus (GDM) affects 3-14% of pregnancies, with 20-50% of these women progressing to type 2 diabetes (T2D) within 5 years. This study sought to develop a metabolomics signature to predict the transition from GDM to T2D. A prospective cohort of 1,035 women with GDM pregnancy were enrolled at 6-9 weeks postpartum (baseline) and were screened for T2D annually for 2 years. Of 1,010 women without T2D at baseline, 113 progressed to T2D within 2 years. T2D developed in another 17 women between 2 and 4 years. A nested case-control design used 122 incident case patients matched to non-case patients by age, prepregnancy BMI, and race/ethnicity. We conducted metabolomics with baseline fasting plasma and identified 21 metabolites that significantly differed by incident T2D status. Machine learning optimization resulted in a decision tree modeling that predicted T2D incidence with a discriminative power of 83.0% in the training set and 76.9% in an independent testing set, which is far superior to measuring fasting plasma glucose levels alone. The American Diabetes Association recommends T2D screening in the early postpartum period via oral glucose tolerance testing after GDM, which is a time-consuming and inconvenient procedure. Our metabolomics signature predicted T2D incidence from a single fasting blood sample. This study represents the first metabolomics study of the transition from GDM to T2D validated in an independent testing set, facilitating early interventions.

Indexed as

AdultBlood GlucoseCase-Control StudiesDiabetes, GestationalDiabetes Mellitus, Type 2FemaleGlucose Tolerance TestHumansIncidenceMiddle AgedPostpartum PeriodPregnancyProspective StudiesYoung AdultBlood Glucose

Identifiers

PMID27338739
PMCPMC5001181

What OpenQuestion holds

Textmetadata
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.