Evidence map›Paper›PMID 30146574›Full record

ArticleInternal medicine (Tokyo, Japan)2019

Association of the Glycemic Fluctuation as well as Glycemic Control with the Pancreatic β-cell Function in Japanese Subjects with Type 2 Diabetes Mellitus.

Maiko Takai, Takatoshi Anno, Fumiko Kawasaki, Tomohiko Kimura, Hidenori Hirukawa, Tomoatsu Mune, Niro Okimoto, Kohei Kaku, Hideaki Kaneto

Abstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

9 authors.

Maiko TakaiDepartment of General Internal Medicine 1, Kawasaki Medical School, Japan.
Takatoshi AnnoDepartment of General Internal Medicine 1, Kawasaki Medical School, Japan.
Fumiko KawasakiDepartment of General Internal Medicine 1, Kawasaki Medical School, Japan.
Tomohiko KimuraDepartment of Diabete, Metabolism and Endocrinology, Kawasaki Medical School, Japan.
Hidenori HirukawaDepartment of Diabete, Metabolism and Endocrinology, Kawasaki Medical School, Japan.
Tomoatsu MuneDepartment of Diabete, Metabolism and Endocrinology, Kawasaki Medical School, Japan.
Niro OkimotoDepartment of General Internal Medicine 1, Kawasaki Medical School, Japan.
Kohei KakuDepartment of General Internal Medicine 1, Kawasaki Medical School, Japan.
Hideaki KanetoDepartment of Diabete, Metabolism and Endocrinology, Kawasaki Medical School, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective It is important to preserve the pancreatic β-cell function in order to maintain good glycemic control for a long period. The aim of this study was to examine which factors are associated with the β-cell function in subjects with type 2 diabetes mellitus. Methods A total of 372 subjects with type 2 diabetes who had been hospitalized for the amelioration of their glycemic control and/or education about diabetes in Kawasaki Medical School Hospital were included in this study. We evaluated the remnant β-cell function as the HOMA-%β using the computer software program HOMA2 and estimated the glycemic fluctuation with the glycoalbumin (GA)/hemoglobin A1c (HbA1c) ratio. In addition, we divided the subjects into a relatively young group (<65 years old) (n=210) and an elderly group (≥65 years old) (n=162) and performed several analyses in each group. Results The GA/HbA1c ratio, GA and HbA1c were independent determinant factors for the HOMA-%β regardless of age. We obtained almost the same results even after excluding those subjects using insulin secretagogues. These data suggest that the glycemic fluctuation and glycemic control are associated with the remnant β-cell function in Japanese subjects with type 2 diabetes. Conclusion It is very important to reduce glycemic fluctuation as well as to maintain good glycemic control in order to preserve β-cell function in subjects with type 2 diabetes.

Indexed as

AdultAgedAge FactorsBlood GlucoseDiabetes Mellitus, Type 2FemaleGlycated HemoglobinGlycated Serum AlbuminGlycation End Products, AdvancedHumansInsulin-Secreting CellsMaleMiddle AgedSerum AlbuminBlood GlucoseGlycated HemoglobinGlycated Serum AlbuminGlycation End Products, AdvancedSerum Albuminfluctuation of the blood glucose levelspancreatic β-cell functiontype 2 diabetes mellitus

Identifiers

PMID30146574
PMCPMC6378157

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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.