Evidence map›Paper›PMID 30413829›Full record

ArticleDiabetologia2019

A variant of the glucose transporter gene SLC2A2 modifies the glycaemic response to metformin therapy in recently diagnosed type 2 diabetes.

Wolfgang Rathmann, Klaus Strassburger, Brenda Bongaerts, Oliver Kuss, Karsten Müssig, Volker Burkart, Julia Szendroedi, Jörg Kotzka, Birgit Knebel, Hadi Al-Hasani and 2 more

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Diabetologia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01055093 (Prospective Study on Diabetes Mellitus and Its Complications in Newly Diagnosed Adult Patients), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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.

NCT01055093 recruitingnot on this map

Prospective Study on Diabetes Mellitus and Its Complications in Newly Diagnosed Adult Patients

TypeobservationalSponsorGerman Diabetes CenterRan2005 to 2040Enrolled2,000ConditionsDiabetes Mellitus, Type 1, Diabetes Mellitus, Type 2
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Article
  7. Article
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  12. Genomic Editing and Diabetes.Advances in experimental medicine and biology · 2023
    Article
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  19. Review
  20. The Need for Precision Medicine to be Applied to Diabetes.Journal of diabetes science and technology · 2020
    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

12 authors at 1 institution in 1 country.

Wolfgang RathmannInstitute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University, Auf'm Hennekamp 65, D-40225, Düsseldorf, Germany. rathmann@ddz.uni-duesseldorf.de.
Klaus StrassburgerInstitute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University, Auf'm Hennekamp 65, D-40225, Düsseldorf, Germany.
Brenda BongaertsInstitute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University, Auf'm Hennekamp 65, D-40225, Düsseldorf, Germany.
Oliver KussInstitute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University, Auf'm Hennekamp 65, D-40225, Düsseldorf, Germany.
Karsten MüssigGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Volker BurkartGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Julia SzendroediGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Jörg KotzkaGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Birgit KnebelGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Hadi Al-HasaniGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
Michael RodenGerman Center for Diabetes Research (DZD), München-Neuherberg, Germany.
GDS Group
Deutsches Diabetes-Zentrum e.V. · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisThe aim of this study was to investigate the modifying effect of the glucose transporter (GLUT2) gene SLC2A2 (rs8192675) variant on the glycaemic response to metformin in individuals recently diagnosed with type 2 diabetes.

methodsIndividuals with type 2 diabetes (n = 508) from the prospective German Diabetes Study (age [mean ± SD] 53 ± 10 years; 65% male; BMI 32 ± 6 kg/m

resultsThe C variant allele of rs8192675 was associated with a higher prevalence of diabetes symptoms at diabetes diagnosis. In the metformin monotherapy group only, patients with a C allele showed a larger adjusted blood glucose reduction during the first year after diabetes diagnosis than patients with the TT genotype (6.3 mmol/l vs 3.9 mmol/l; genotype difference 2.4 mmol/l, p = 0.02; p value for genotype interaction [metformin monotherapy vs non-pharmacological therapy] <0.01). The greater decline in fasting glucose (CC/CT vs TT) in metformin monotherapy persisted after further adjusting for glucose values at diagnosis (genotype difference 1.0 mmol/l, p = 0.01; genotype×treatment interaction p = 0.06). CONCLUSIONS/

interpretationThe variant rs8192675 in the SLC2A2 gene (C allele) is associated with an improved glucose response to metformin monotherapy during the first year after diagnosis in type 2 diabetes.

trial registrationClinicalTrials.gov NCT01055093.

Indexed as

AdultAllelesBlood GlucoseDiabetes Mellitus, Type 2FemaleGenotypeGlucose Clamp TechniqueGlucose Transporter Type 2HumansHypoglycemic AgentsMaleMetforminMiddle AgedPharmacogeneticsPolymorphism, Single NucleotideBlood GlucoseGlucose Transporter Type 2Hypoglycemic AgentsMetforminGene interactionMetforminPersonalised medicineType 2 diabetes

Identifiers

PMID30413829
OpenAlexW2900429325

What OpenQuestion holds

Texttitle and abstract
Read underepoch 390

Registered trials

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.