Evidence map›Paper›PMID 30258360›Full record

ArticleFrontiers in aging neuroscience2018

Postprandial Hyperglycemia Is Associated With White Matter Hyperintensity and Brain Atrophy in Older Patients With Type 2 Diabetes Mellitus.

Noriko Ogama, Takashi Sakurai, Shuji Kawashima, Takahisa Tanikawa, Haruhiko Tokuda, Shosuke Satake, Hisayuki Miura, Atsuya Shimizu, Manabu Kokubo, Shumpei Niida and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 30 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

13 authors at 2 institutions in 1 country.

Noriko OgamaCenter for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Obu, Japan.
Takashi SakuraiCenter for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Obu, Japan.
Shuji KawashimaDepartment of Geriatric Medicine, National Center for Geriatrics and Gerontology, Obu, Japan.
Takahisa TanikawaDepartment of Clinical Laboratory, National Center for Geriatrics and Gerontology, Obu, Japan.
Haruhiko TokudaDepartment of Clinical Laboratory, National Center for Geriatrics and Gerontology, Obu, Japan.
Shosuke SatakeDepartment of Geriatric Medicine, National Center for Geriatrics and Gerontology, Obu, Japan.
Hisayuki MiuraDepartment of Home Care Coordinators, National Center for Geriatrics and Gerontology, Obu, Japan.
Atsuya ShimizuDepartment of Cardiology, National Center for Geriatrics and Gerontology, Obu, Japan.
Manabu KokuboDepartment of Cardiology, National Center for Geriatrics and Gerontology, Obu, Japan.
Shumpei NiidaMedical Genome Center, National Center for Geriatrics and Gerontology, Obu, Japan.
Kenji TobaCenter for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Obu, Japan.
Hiroyuki UmegakiDepartment of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Masafumi KuzuyaDepartment of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
National Center for Geriatrics and Gerontology · JPNagoya University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 2 diabetes mellitus is associated with neurodegeneration and cerebrovascular disease. However, the precise mechanism underlying the effects of glucose management on brain abnormalities is not fully understood. The differential impacts of glucose alteration on brain changes in patients with and without cognitive impairment are also unclear. This cross-sectional study included 57 older type 2 diabetes patients with a diagnosis of Alzheimer's disease (AD) or normal cognition (NC). We examined the effects of hypoglycemia, postprandial hyperglycemia and glucose fluctuations on regional white matter hyperintensity (WMH) and brain atrophy among these patients. In a multiple regression analysis, postprandial hyperglycemia was independently associated with frontal WMH in the AD patients. In addition, postprandial hyperglycemia was significantly associated with brain atrophy, regardless of the presence of cognitive decline. Altogether, our findings indicate that postprandial hyperglycemia is associated with WMH in AD patients but not NC patients, which suggests that AD patients are more susceptible to postprandial hyperglycemia associated with WMH.

Indexed as

Alzheimer’s diseasebrain atrophydiabetes mellituspostprandial hyperglycemiawhite matter hyperintensity

Identifiers

PMID30258360
PMCPMC6143668
OpenAlexW2943697033

What OpenQuestion holds

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LicenceCC BY
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.