Evidence map›Paper›PMID 29916102›Full record

ArticleEndocrine2018

Associations of serum glucagon levels with glycemic variability in type 1 diabetes with different disease durations.

Ke Li, Wen-Jing Song, Xia Wu, Dan-Yang Gu, Pu Zang, Ping Gu, Bin Lu, Jia-Qing Shao

Abstract read
PubMed Publisher
In one paragraph

Article in Endocrine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. Glucagon receptor activation contributes to the development of kidney injury.American journal of physiology. Renal physiology · 2024
    Article
  4. Advances in clinical research on glucagon.Diabetology international · 2024
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. HbAJournal of clinical and translational hepatology · 2021
    Article
  11. The Role of Glucagon in Glycemic Variability in Type 1 Diabetes: A Narrative Review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2021
    Review
  12. Article
  13. Article
  14. Review
  15. 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

8 authors at 3 institutions in 1 country.

Ke LiDepartment of Endocrinology, Jinling Hospital, Southern Medical University, 305 Zhongshan East Road, Nanjing, Jiangsu Province, 210002, China.
Wen-Jing SongDepartment of Endocrinology, Jinling Hospital, Southern Medical University, 305 Zhongshan East Road, Nanjing, Jiangsu Province, 210002, China.
Xia WuDepartment of Endocrinology, Jinling Hospital, Nanjing Medical University, 305 Zhongshan East Road, Nanjing, Jiangsu Province, 210002, China.
Dan-Yang GuDepartment of Endocrinology, Jinling Hospital, Nanjing Medical University, 305 Zhongshan East Road, Nanjing, Jiangsu Province, 210002, China.
Pu ZangDepartment of Endocrinology, Jinling Hospital, Southern Medical University, 305 Zhongshan East Road, Nanjing, Jiangsu Province, 210002, China.
Ping GuDepartment of Endocrinology, Jinling Hospital, Southern Medical University, 305 Zhongshan East Road, Nanjing, Jiangsu Province, 210002, China.
Bin LuDepartment of Endocrinology, Jinling Hospital, Southern Medical University, 305 Zhongshan East Road, Nanjing, Jiangsu Province, 210002, China. lubin7710@126.com.
Jia-Qing ShaoDepartment of Endocrinology, Jinling Hospital, Southern Medical University, 305 Zhongshan East Road, Nanjing, Jiangsu Province, 210002, China. shaojiaq@hotmail.com.
Southern Medical University · CNNanjing General Hospital of Nanjing Military Command · CNNanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGlucagon has been recognized as a pivotal factor implicated in the pathophysiology ofdiabetes. The purpose of this study is to investigate the dynamic secretion levels of serum glucagon (GLA) in patients with type 1 diabetes mellitus (T1DM) with different courses of disease, and to analyze its correlation with blood glucose fluctuation.

methodsThis observational study included 55 T1DM patients and divided into 3 groups according to the courses of disease. Group 1(the disease duration <1 year), Group 2(1≤the disease durations≤5), 3(the disease durations >5 years). All patients underwent a 100g standard steamed buns meal test,measuring the levels of serum glucose, glucagon, insulin, C-peptide in different points of time, and 48 of the total patients used continuous glucose monitoring system (CGMS) to monitor blood glucose.

resultsThe fasting glucagon level in Group 1 was significantly higher than it in Group 2. Furthermore, the GLA1h, the GLA3h and the AUCGLA0-3h in Group 1 were greatly larger than those in Group 3. Referring to glycemic variability, the LBGI, AUC of hypoglycemia, the percentage of hypoglycemia time andthe times of nocturnal hypoglycemia in Group 1 were significantly lower than those in Group 3. Moreover,the fasting glucagon level was the independent factors to SD and MAGE. The AUCGLA0-3h were negatively correlated with MODD, LBGI, GRADE-hypo and AUC of nocturnal hypoglycemia.

conclusionsIt is concluded that glucagon secretory function impairs with duration of type 1 diabetes extended and correlates to glycemic fluctuation, especially hypoglycemia.

Indexed as

Blood GlucoseAdolescentAdultBlood Glucose Self-MonitoringC-PeptideDiabetes Mellitus, Type 1FastingFemaleGlucagonHumansInsulinMaleMiddle AgedTime FactorsYoung AdultBlood GlucoseC-PeptideGlucagonInsulinContinuous glucose monitoring systemGlucagonGlycemia variabilityStandard steamed buns meal test

Identifiers

PMID29916102
OpenAlexW2808948416

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.