Evidence map›Paper›PMID 27422013›Full record

ArticleJournal of diabetes science and technology2016

Glycated Hemoglobin, Plasma Glucose, and Erythrocyte Aging.

Manuel Beltran Del Rio, Mukesh Tiwari, Leo I Amodu, Joaquin Cagliani, Horacio Luis Rodriguez Rilo

Open access · bronzeAbstract read
In one paragraph

Article in Journal of diabetes science and technology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Manuel Beltran Del RioPancreas Disease Center, Department of Surgery, Northwell Health System, Manhasset, NY, USA mbeltrande@northwell.edu.
Mukesh TiwariPancreas Disease Center, Department of Surgery, Northwell Health System, Manhasset, NY, USA.
Leo I AmoduPancreas Disease Center, Department of Surgery, Northwell Health System, Manhasset, NY, USA.
Joaquin CaglianiFeinstein Institute for Medical Research, Manhasset, NY, USA.
Horacio Luis Rodriguez RiloPancreas Disease Center, Department of Surgery, Northwell Health System, Manhasset, NY, USA.
Northwell Health · USFeinstein Institute for Medical Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between HbA1c and blood glucose averages has been characterized many times, yet, a unifying, mechanistic description is still lacking.

methodsWe calculated the level of HbA1c from plasma glucose averages based solely on the in vivo rate of hemoglobin glycation, and the different turnover rates for erythrocytes of different ages. These calculations were then compared to the measured change of HbA1c due to changes in mean blood glucose (MBG), to complex models in the literature, and our own experiments.

resultsAnalysis of data on erythrocyte ageing patterns revealed that 2 separate RBC turnover mechanisms seem to be present. We calculated the mean red blood cell (RBC) life span within individuals to lie between 60 and 95 days. Comparison of expected HbA1c levels to data taken from continuous glucose monitors and finger-stick MBG yielded good agreement (r = .87, P < .0001). Experiments on the change with time of HbA1c induced by a change of MBG were in excellent agreement with our calculations (r = .98, P < .0001).

conclusionsRBC turnover seems to be dominated by a constant rate of cell loss, and a mechanism that targets cells of a specific age. Average RBC life span is 80 ± 10.9 days. Of HbA1c change toward treatment goal value, 50% is reached in about 30 days. Many factors contribute to the ratio of glycated hemoglobin, yet we can make accurate estimations considering only the in vivo glycation constant, MBG, and the age distribution of erythrocytes.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 1Erythrocyte AgingGlycated HemoglobinGlycosylationHumansBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanblood sugar controlcontinuous glucose monitorerythrocyte life spanglycated hemoglobin

Identifiers

PMID27422013
PMCPMC5094338
OpenAlexW2469828100

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.