Evidence map›Paper›PMID 30101920›Full record

ArticleInternal medicine (Tokyo, Japan)2018

Hypoglycemia Unawareness in Insulinoma Revealed with Flash Glucose Monitoring Systems.

Taku Sugawa, Takaaki Murakami, Daisuke Yabe, Riko Kashima, Makiko Tatsumi, Shinobu Ooshima, Erina Joo, Keiko Wada, Atsushi Yoshizawa, Toshihiko Masui and 7 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

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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

17 authors at 1 institution in 1 country.

Taku SugawaDepartment of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Japan.
Takaaki MurakamiDepartment of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Japan.
Daisuke YabeDepartment of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Japan.
Riko KashimaDepartment of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Japan.
Makiko TatsumiDepartment of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Japan.
Shinobu OoshimaDepartment of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Japan.
Erina JooDepartment of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Japan.
Keiko WadaDepartment of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Japan.
Atsushi YoshizawaDepartment of Hepato-Biliary-Pancreatic Surgery and Transplantation, Kyoto University Graduate School of Medicine, Japan.
Toshihiko MasuiDepartment of Hepato-Biliary-Pancreatic Surgery and Transplantation, Kyoto University Graduate School of Medicine, Japan.
Yuji NakamotoDepartment of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto University, Japan.
Yuki YamauchiDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Japan.
Yuzo KodamaDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Japan.
Yoshiki IemuraDepartment of Diagnostic Pathology, Kyoto University Graduate School of Medicine, Japan.
Masahito OguraDepartment of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Japan.
Akihiro YasodaDepartment of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Japan.
Nobuya InagakiDepartment of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Japan.
Kyoto University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The delayed diagnosis of insulinoma remains a clinical issue. One of the main causes of such a delay is hypoglycemia unawareness. A 53-year-old woman fell unconscious during postprandial exercises. Flash glucose monitoring (FGM) systems revealed glucose profiles with fasting hypoglycemia, which facilitated the clinical diagnosis of insulinoma even though she was unaware of her hypoglycemia. The preoperative comparison of the blood glucose values provided by FGM with those obtained from capillary blood were consistent. Thus, FGM may have potential utility in revealing the presence of insulinoma-induced hypoglycemia.

Indexed as

Delayed DiagnosisAwarenessBlood GlucoseBlood Glucose Self-MonitoringExerciseFemaleHumansHypoglycemiaInsulinomaMiddle AgedPancreatic NeoplasmsPostprandial PeriodUnconsciousnessBlood Glucosecontinuous glucose monitoringDOTATOCflash glucose monitoringhypoglycemiahypoglycemia unawarenessinsulinoma

Identifiers

PMID30101920
PMCPMC6306522
OpenAlexW2885520414

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.