Evidence map›Paper›PMID 29034607›Full record

ArticleJournal of diabetes investigation2018

Complete loss of insulin secretion capacity in type 1A diabetes patients during long-term follow up.

Sae Uno, Akihisa Imagawa, Junji Kozawa, Kenji Fukui, Hiromi Iwahashi, Iichiro Shimomura

Abstract read
In one paragraph

Article in Journal of diabetes investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Review
  6. Genetics of type-1 diabetes.Diabetology international · 2024
    Review
  7. Review
  8. Observational
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. C-peptide and residual β-cell function in pediatric diabetes - state of the art.Pediatric endocrinology, diabetes, and metabolism · 2021
    Review
  15. Article
  16. 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

6 authors.

Sae UnoThe Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.ORCID http://orcid.org/0000-0003-0565-7311
Akihisa ImagawaThe Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Junji KozawaThe Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.ORCID http://orcid.org/0000-0001-9665-8947
Kenji FukuiThe Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Hiromi IwahashiThe Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Iichiro ShimomuraThe Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIM/

introductionPatients with type 1 diabetes are classified into three subtypes in Japan: acute onset, fulminant and slowly progressive. Acute-onset type 1 diabetes would be equivalent to type 1A diabetes, the typical type 1 diabetes in Western countries. The insulin secretion capacity in Japanese patients with long-standing type 1A diabetes is unclear. The aim of the present study was to clarify the course of endogenous insulin secretion during long-term follow up and the factors associated with residual insulin secretion in patients with acute-onset type 1 diabetes (autoimmune). MATERIALS AND

methodsWe retrospectively investigated endogenous insulin secretion capacity in 71 patients who fulfilled the diagnostic criteria for acute-onset type 1 diabetes (autoimmune) in Japan. To assess the residual insulin secretion capacity, we evaluated randomly measured C-peptide levels and the results of glucagon stimulation test in 71 patients.

resultsIn the first year of disease, the child- and adolescent-onset patients had significantly more in residual insulin secretion than the adult-onset patients (34 patients in total). C-peptide levels declined more rapidly in patients whose age of onset was ≤18 years than in patients whose age of onset was ≥19 years. Endogenous insulin secretion capacity stimulated by glucagon was completely lost in almost all patients at >15 years after onset (61 patients in total).

conclusionsMost patients with acute-onset type 1 diabetes (autoimmune) completely lose their endogenous insulin secretion capacity during the disease duration in Japan. Age of onset might affect the course of insulin secretion.

Indexed as

AdultAge of OnsetAsian PeopleC-PeptideDiabetes Mellitus, Type 1FemaleFollow-Up StudiesGlucagonHumansInsulinInsulin SecretionJapanMaleRetrospective StudiesYoung AdultC-PeptideGlucagonInsulinAcute-onset type 1 diabetesEndogenous insulin secretion capacityLong-standing

Identifiers

PMID29034607
PMCPMC6031490

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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.