Evidence map›Paper›PMID 29871904›Full record

ArticleDiabetes care2018

Cognitive Function Deficits Associated With Long-Duration Type 1 Diabetes and Vascular Complications.

Gail Musen, Liane J Tinsley, Katrina A Marcinkowski, David Pober, Jennifer K Sun, Maya Khatri, Richie Huynh, Annie Lu, George L King, Hillary A Keenan

Abstract read
In one paragraph

Article in Diabetes care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Diabetic retinopathy and Alzheimer's disease: Convergence of the unfolded protein response in neurodegeneration.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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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.

Gail MusenResearch Division, Joslin Diabetes Center, Boston, MA.
Liane J TinsleyResearch Division, Joslin Diabetes Center, Boston, MA.
Katrina A MarcinkowskiEastern Virginia Medical School, Norfolk, VA.
David PoberResearch Division, Joslin Diabetes Center, Boston, MA.
Jennifer K SunResearch Division, Joslin Diabetes Center, Boston, MA.
Maya KhatriResearch Division, Joslin Diabetes Center, Boston, MA.
Richie HuynhResearch Division, Joslin Diabetes Center, Boston, MA.
Annie LuResearch Division, Joslin Diabetes Center, Boston, MA.
George L KingResearch Division, Joslin Diabetes Center, Boston, MA.ORCID 0000-0002-0335-5881
Hillary A KeenanResearch Division, Joslin Diabetes Center, Boston, MA hillaryakeenan@gmail.com.ORCID 0000-0003-4172-5537

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI ROHIT N. KULKARNI · 1986 to 2026
$50.5M
Validation of Potential Protective Factors from Diabetic ComplicationsDP3DK094333 · NIDDK · JOSLIN DIABETES CENTER · PI KING, GEORGE L · 2011 to 2015
$4.1M
Pyruvate kinase M2 levels and activation as protective factors for diabetic nephropathyDP3DK112192 · NIDDK · JOSLIN DIABETES CENTER · PI KING, GEORGE L · 2016 to 2016
$2.3M
Biomarkers for protection against complications and beta-cell destruction R24DK083957 · NIDDK · JOSLIN DIABETES CENTER · PI KING, GEORGE L · 2009 to 2009
$330k
NCRR NIH HHS UL1 RR025758NIDDK NIH HHS DP3 DK094333NIDDK NIH HHS DP3 DK112192NIDDK NIH HHS P30 DK036836NIDDK NIH HHS R24 DK083957
6 · The paper itself

Abstract

objectivePatients with type 1 diabetes now live long enough to experience cognitive decline. During middle age, they show mild cognitive deficits, but it is unknown whether severity increases with aging or whether cognitive profiles are similar to those of age-matched peers with and without diabetes. RESEARCH DESIGN AND

methodsWe tested and compared cognition in 82 individuals with 50 or more years of type 1 diabetes (Medalists), 31 age-matched individuals with type 2 diabetes, and 30 age-matched control subjects without diabetes. Medical histories and biospecimens were collected. We also evaluated the association of complications with cognition in Medalists only.

resultsCompared with control subjects, both individuals with type 1 diabetes and individuals with type 2 diabetes performed worse on immediate and delayed recall (

conclusionsBoth patients with type 1 and patients with type 2 diabetes showed overall worse cognition than control subjects. Further, in Medalists, a relationship between complications and cognition was seen. Although both groups with diabetes showed similar deficit patterns, the underlying mechanisms may be different. Now that patients with type 1 diabetes are living longer, efforts should be made to evaluate cognition and to identify modifying behaviors to slow decline.

Indexed as

AdolescentAdultAgedCardiovascular DiseasesCase-Control StudiesChildCognitionCognition DisordersCognitive DysfunctionDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic AngiopathiesExecutive FunctionFemaleHumansMale

Identifiers

PMID29871904
PMCPMC6054500

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.