Evidence map›Paper›PMID 27658133›Full record

ArticleJournal of pediatric endocrinology & metabolism : JPEM2016

Glycemic variability predicts inflammation in adolescents with type 1 diabetes.

Robert P Hoffman, Amanda S Dye, Hong Huang, John A Bauer

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of pediatric endocrinology & metabolism : JPEM, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05723445 (The Effects of a Low Glycemic Load Diet on Dysglycemia and Body Composition in Adults With Cystic Fibrosis-Related Diabetes), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.0field-weighted citation impact, top 6% 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.

NCT05723445 narecruitingnot on this mapstarted 2023, after this paper: background citation

The Effects of a Low Glycemic Load Diet on Dysglycemia and Body Composition in Adults With Cystic Fibrosis-Related Diabetes

TypeinterventionalSponsorRhode Island HospitalRan2023 to 2026Enrolled15ConditionsCystic Fibrosis, Cystic Fibrosis-related Diabetes, Cystic Fibrosis With Intestinal ManifestationsArmsLow Glycemic Load Diet
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
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  4. Beyond HbAFrontiers in endocrinology · 2026
    Review
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  18. Can Resistance Exercise Be a Tool for Healthy Aging in Post-Menopausal Women with Type 1 Diabetes?International journal of environmental research and public health · 2021
    Review
  19. Article
  20. Article
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

4 authors at 3 institutions in 1 country.

Robert P Hoffman
Amanda S Dye
Hong Huang
John A Bauer
University of Kentucky HealthCare · USNationwide Children's Hospital · USWest Virginia University · US

Funding

University of Iowa Clinical and Translational Science Program (TL1)UL1RR025755 · NCRR · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2008 to 2011
$26.3M
The Ohio State University Center for Clinical and Translational Science (UL1)UL1TR000090 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2012 to 2013
$7.9M
Endothelial Function Predictors in Adolescent DiabetesR21DK083642 · NIDDK · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI HOFFMAN, ROBERT PAUL · 2009 to 2010
$396k
NCATS NIH HHS UL1 TR000090NCRR NIH HHS UL1 RR025755NIDDK NIH HHS R21 DK083642
6 · The paper itself

Abstract

backgroundAdolescents with type 1 diabetes (T1D) have increased risk of cardiovascular disease as well as elevations in biomarkers of systemic inflammation, plasma protein oxidation and vascular endothelial injury. It is unclear whether hyperglycemia itself, or variations in blood glucose are predictors of these abnormalities.

methodsThis study was designed to determine the relationship of inflammatory (C-reactive protein, CRP), oxidative (total anti-oxidative capacity, TAOC) and endothelial injury (soluble intracellular adhesion molecule 1, sICAM1) markers to glycemic control measures from 3 days of continuous glucose monitoring (CGM) and to hemoglobin A1c (HbA1c), and HbA1c×duration area under the curve (A1cDur).

resultsSeventeen adolescents (8 F/9M; age, 13.1±1.6 years (mean±SD); duration, 4.8±3.8 years, BMI, 20.3±3.1 kg/m2; A1c, 8.3±1.2%) were studied. Log CRP but was not related to age, duration, body mass index (BMI), HbA1c, or A1cDUR. TAOC increased as logA1cDUR increased (n=13, r=0.61, p=0.028). CRP and sICAM were not related to CGM average glucose but log CRP increased as 3 day glucose standard deviation increased (r=0.66, p=0.006). TAOC increased as glucose standard deviation increased (r=0.63, p=0.028).

conclusionsIncreased glucose variability is associated with increased inflammation in adolescents withT1D. Increased TAOC with increasing variability may be an effort to compensate for the ongoing oxidative stress.

Indexed as

AdolescentBiomarkersBlood GlucoseDiabetes Mellitus, Type 1FemaleGlycated HemoglobinGlycemic IndexHumansInflammationMaleOxidative StressBiomarkersBlood GlucoseGlycated Hemoglobin

Identifiers

PMID27658133
PMCPMC5546213
OpenAlexW2423851799

What OpenQuestion holds

Textmetadata
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.