Evidence map›Paper›PMID 29531139›Full record

ArticleDiabetes2018

Altered Brain Dynamics in Patients With Type 1 Diabetes During Working Memory Processing.

Christine M Embury, Alex I Wiesman, Amy L Proskovec, Elizabeth Heinrichs-Graham, Timothy J McDermott, Grace H Lord, Kaitlin L Brau, Andjela T Drincic, Cyrus V Desouza, Tony W Wilson

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Diabetes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
  2. Article
  3. Oscillatory Dynamics Serving Verbal Working Memory Differ in People with HIV and Are Linked To Disease Duration.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
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  17. Cortical oscillations that underlie working memory are altered in adults with cerebral palsy.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2021
    Article
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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

10 authors at 2 institutions in 1 country.

Christine M EmburyDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE.ORCID 0000-0001-8173-6957
Alex I WiesmanDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE.
Amy L ProskovecDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE.
Elizabeth Heinrichs-GrahamDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE.
Timothy J McDermottDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE.
Grace H LordDivision of Diabetes, Endocrinology, and Metabolism, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE.
Kaitlin L BrauDivision of Diabetes, Endocrinology, and Metabolism, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE.
Andjela T DrincicDivision of Diabetes, Endocrinology, and Metabolism, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE.
Cyrus V DesouzaDivision of Diabetes, Endocrinology, and Metabolism, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE.
Tony W WilsonDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE twwilson@unmc.edu.ORCID 0000-0002-5053-8306
University of Nebraska Medical Center · USUniversity of Nebraska at Omaha · US

Funding

Neurophysiological markers of HAND and the impact of aging: Evidence from MEGR01MH103220 · NIMH · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI WILSON, TONY W · 2014 to 2018
$2.5M
Oscillatory markers of cognitive deficits in patients with Alzheimer's diseaseF31AG055332 · NIA · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI WIESMAN, ALEX I · 2017 to 2019
$119k
NIA NIH HHS F31 AG055332NIMH NIH HHS R01 MH103220
6 · The paper itself

Abstract

It is now generally accepted that diabetes increases the risk for cognitive impairment, but the precise mechanisms are poorly understood. A critical problem in linking diabetes to cognitive impairment is that patients often have multiple comorbidities (e.g., obesity, hypertension) that have been independently linked to cognitive deficits. In the study reported here we focused on young adults with and without type 1 diabetes who were virtually free of such comorbidities. The two groups were matched on major health and demographic factors, and all participants completed a verbal working memory task during magnetoencephalographic brain imaging. We hypothesized that patients would have altered neural dynamics in verbal working memory processing and that these differences would directly relate to clinical disease measures. Accordingly, we found that patients had significantly stronger neural responses in the superior parietal cortices during memory encoding and significantly weaker activity in parietal-occipital regions during maintenance compared with control subjects. Moreover, disease duration and glycemic control were both significantly correlated with neural responses in various brain regions. In conclusion, young healthy adults with type 1 diabetes already have aberrant neural processing relative to their peers without diabetes, using compensatory responses to perform the task, and glucose management and duration may play a central role.

Indexed as

Asymptomatic DiseasesMemory, Short-TermAdultCognitive DysfunctionComorbidityDiabetes Mellitus, Type 1Diabetic NephropathiesDisease ProgressionFemaleFunctional NeuroimagingGlycated HemoglobinHumansHyperglycemiaHypoglycemiaHypoglycemic AgentsInsulinGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulin

Identifiers

PMID29531139
PMCPMC5961408
OpenAlexW2793737667

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.