Evidence map›Paper›PMID 30229274›Full record

ArticleDiabetologia2018

A UK nationwide prospective study of treatment change in MODY: genetic subtype and clinical characteristics predict optimal glycaemic control after discontinuing insulin and metformin.

Maggie H Shepherd, Beverley M Shields, Michelle Hudson, Ewan R Pearson, Christopher Hyde, Sian Ellard, Andrew T Hattersley, Kashyap A Patel, UNITED study

Open access · hybridFull text read
In one paragraph

Article in Diabetologia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 pooled it
9.5field-weighted citation impact, top 1% 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

62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
    Guideline
  3. Pooled it
  4. Trial
  5. Trial
  6. Syndromic diabetes and hypergonadotropic hypogonadism in a boy with a 12q24.31-32 chromosomal deletion involvingClinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2026
    Article
  7. Genetic basis of Asian diabetes.Journal of diabetes investigation · 2026
    Review
  8. Article
  9. Case Report: A novel likely pathogenicFrontiers in endocrinology · 2026
    Article
  10. Sulphonylurea efficacy and end-organ outcomes in the management of HNF4A-MODY.Diabetic medicine : a journal of the British Diabetic Association · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Pediatric health, medicine and therapeutics · 2025
    Article

2 more citing papers are in PubMed but not listed here.

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 at 3 institutions in 1 country.

Maggie H ShepherdNIHR Exeter Clinical Research Facility, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK. m.h.shepherd@exeter.ac.uk.ORCID http://orcid.org/0000-0003-2660-0955
Beverley M ShieldsInstitute of Biomedical and Clinical Science, University of Exeter Medical School, RILD, Barrack Road, Exeter, EX2 5DW, UK.
Michelle HudsonInstitute of Biomedical and Clinical Science, University of Exeter Medical School, RILD, Barrack Road, Exeter, EX2 5DW, UK.
Ewan R PearsonDivision of Population Health and Genomics, School of Medicine, University of Dundee, Dundee, UK.
Christopher HydeExeter Test Group, Institute of Health Research, University of Exeter Medical School, University of Exeter, Exeter, UK.
Sian EllardInstitute of Biomedical and Clinical Science, University of Exeter Medical School, RILD, Barrack Road, Exeter, EX2 5DW, UK.
Andrew T HattersleyInstitute of Biomedical and Clinical Science, University of Exeter Medical School, RILD, Barrack Road, Exeter, EX2 5DW, UK.
Kashyap A PatelInstitute of Biomedical and Clinical Science, University of Exeter Medical School, RILD, Barrack Road, Exeter, EX2 5DW, UK.
UNITED study
University of Exeter · GBUniversity of Dundee · GBRoyal Devon & Exeter NHS Foundation Trust · GB

Funding

Department of Health HICF-1009-041Department of Health PDA/02/06/098Wellcome Trust 102820/Z/13/ZWellcome Trust 110082/Z/15/ZWellcome Trust HICF-1009-041Wellcome Trust WT098395/Z/12/Z
6 · The paper itself

Abstract

aims/hypothesisTreatment change following a genetic diagnosis of MODY is frequently indicated, but little is known about the factors predicting future treatment success. We therefore conducted the first prospective study to determine the impact of a genetic diagnosis on individuals with GCK-, HNF1A- or HNF4A-MODY in the UK, and to identify clinical characteristics predicting treatment success (i.e. HbA

methodsThis was an observational, prospective, non-selective study of individuals referred to the Exeter Molecular Genetic Laboratory for genetic testing from December 2010 to December 2012. Individuals from the UK with GCK- or HNF1A/HNF4A-MODY who were not on recommended treatment at the time of genetic diagnosis, and who were diagnosed below the age of 30 years and were currently aged less than 50 years, were eligible to participate.

resultsA total of 44 of 58 individuals (75.9%) changed treatment following their genetic diagnosis. Eight individuals diagnosed with GCK-MODY stopped all diabetes medication without experiencing any change in HbA CONCLUSIONS/

interpretationIn participants with GCK-MODY, treatment cessation was universally successful, with no change in HbA

Indexed as

AdolescentAdultBlood GlucoseDiabetes Mellitus, Type 2FemaleHepatocyte Nuclear Factor 1-alphaHepatocyte Nuclear Factor 4HumansHypoglycemic AgentsInsulinMaleMetforminProspective StudiesYoung AdultBlood GlucoseHepatocyte Nuclear Factor 1-alphaHepatocyte Nuclear Factor 4Hypoglycemic AgentsInsulinMetforminGenetic testingGlucokinaseHepatocyte nuclear factor 1αHepatocyte nuclear factor 4αMaturity onset diabetes of the youngSulfonylureaTreatment change

Identifiers

PMID30229274
PMCPMC6223847
OpenAlexW2890235955

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LicenceCC BY
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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.