Evidence map›Paper›PMID 29046482›Full record

ArticleJCI insight2017

Blunted rise in brain glucose levels during hyperglycemia in adults with obesity and T2DM.

Janice J Hwang, Lihong Jiang, Muhammad Hamza, Elizabeth Sanchez Rangel, Feng Dai, Renata Belfort-DeAguiar, Lisa Parikh, Brian B Koo, Douglas L Rothman, Graeme Mason and 1 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. No effects of high-The British journal of nutrition · 2025
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Humans with obesity have disordered brain responses to food images during physiological hyperglycemia.American journal of physiology. Endocrinology and metabolism · 2018
    Trial
  9. Feasibility of ConcurrentNMR in biomedicine · 2026
    Article
  10. Review
  11. Article
  12. Brain Nutrient Sensing: A Unifying Framework.Annual review of physiology · 2026
    Review
  13. Genetic regulators of neuronal survival across metabolic environments.bioRxiv : the preprint server for biology · 2025
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review

4 more citing papers are in PubMed but not listed here.

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

11 authors at 1 institution in 1 country.

Janice J HwangSection of Endocrinology, Department of Internal Medicine, and.
Lihong JiangDepartment of Radiology & Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut, USA.
Muhammad HamzaSection of Endocrinology, Department of Internal Medicine, and.
Elizabeth Sanchez RangelSection of Endocrinology, Department of Internal Medicine, and.
Feng DaiYale Center for Analytical Sciences, Yale School of Public Health, New Haven, Connecticut, USA.
Renata Belfort-DeAguiarSection of Endocrinology, Department of Internal Medicine, and.
Lisa ParikhSection of Endocrinology, Department of Internal Medicine, and.
Brian B KooDepartment of Neurology, Yale School of Medicine, New Haven, Connecticut, USA.
Douglas L RothmanDepartment of Radiology & Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut, USA.
Graeme MasonDepartment of Radiology & Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut, USA.
Robert S SherwinSection of Endocrinology, Department of Internal Medicine, and.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI Richard A Flavell · 1993 to 2026
$44.0M
Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
DIABETES MELLITUS &DISORDERS OF METABOLISMT32DK007058 · NIDDK · YALE UNIVERSITY · PI SONIA CAPRIO, Kevan C Herold · 1986 to 2026
$9.6M
GLUCOREGULATORY HORMONE INTERACTIONS IN DIABETESR01DK020495 · NIDDK · YALE UNIVERSITY · PI ROTHMAN, DOUGLAS LYLE · 1986 to 2022
$6.6M
Yale University Clinical and Translational Science Award ProgramKL2TR000140 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$2.9M
Brain Acetate and Ethanol Metabolism in Alcohol Dependence and AbuseR01AA021984 · NIAAA · YALE UNIVERSITY · PI MASON, GRAEME F. · 2013 to 2017
$2.7M
13C MRS Studies of Brain Mitochondrial Metabolism in Insulin ResistanceR01NS087568 · NINDS · YALE UNIVERSITY · PI PETERSEN, KITT F, ROTHMAN, DOUGLAS LYLE · 2014 to 2018
$2.1M
Investigating the polyol pathway in the human brainK23DK109284 · NIDDK · YALE UNIVERSITY · PI HWANG, JANICE JIN · 2016 to 2019
$758k
Console for 4T Human MR SystemS10OD010613 · OD · YALE UNIVERSITY · PI ROTHMAN, DOUGLAS LYLE · 2012 to 2012
$599k
NCATS NIH HHS KL2 TR000140NCATS NIH HHS KL2 TR001862NCATS NIH HHS UL1 TR001863NCRR NIH HHS UL1 RR024139NIAAA NIH HHS R01 AA021984NIDDK NIH HHS K23 DK109284NIDDK NIH HHS P30 DK045735NIDDK NIH HHS R01 DK020495NIDDK NIH HHS T32 DK007058NIH HHS S10 OD010613NINDS NIH HHS R01 NS087568
6 · The paper itself

Abstract

In rodent models, obesity and hyperglycemia alter cerebral glucose metabolism and glucose transport into the brain, resulting in disordered cerebral function as well as inappropriate responses to homeostatic and hedonic inputs. Whether similar findings are seen in the human brain remains unclear. In this study, 25 participants (9 healthy participants; 10 obese nondiabetic participants; and 6 poorly controlled, insulin- and metformin-treated type 2 diabetes mellitus (T2DM) participants) underwent 1H magnetic resonance spectroscopy scanning in the occipital lobe to measure the change in intracerebral glucose levels during a 2-hour hyperglycemic clamp (glucose ~220 mg/dl). The change in intracerebral glucose was significantly different across groups after controlling for age and sex, despite similar plasma glucose levels at baseline and during hyperglycemia. Compared with lean participants, brain glucose increments were lower in participants with obesity and T2DM. Furthermore, the change in brain glucose correlated inversely with plasma free fatty acid (FFA) levels during hyperglycemia. These data suggest that obesity and poorly controlled T2DM progressively diminish brain glucose responses to hyperglycemia, which has important implications for understanding not only the altered feeding behavior, but also the adverse neurocognitive consequences associated with obesity and T2DM.

Indexed as

AdultBlood GlucoseBrainDiabetes Mellitus, Type 2Fatty AcidsFemaleGlucoseHumansHyperglycemiaInsulinMagnetic Resonance ImagingMaleMiddle AgedObesityYoung AdultBlood GlucoseFatty AcidsGlucoseInsulin

Identifiers

PMID29046482
PMCPMC5846903
OpenAlexW2766411218

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.