Evidence map›Paper›PMID 30844073›Full record

ArticleThe Journal of clinical endocrinology and metabolism2019

Continuous Glucose Monitoring Predicts Progression to Diabetes in Autoantibody Positive Children.

Andrea K Steck, Fran Dong, Iman Taki, Michelle Hoffman, Kimber Simmons, Brigitte I Frohnert, Marian J Rewers

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 9% 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

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Impact of screening programmes for type 1 diabetes in youth: A systematic review and meta-analysis.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Pooled it
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  5. Observational
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  8. Are We Ready With Prevention for Type 1 Diabetes?Diabetes/metabolism research and reviews · 2025
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  13. Observational
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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

7 authors at 1 institution in 1 country.

Andrea K SteckBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Fran DongBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Iman TakiBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Michelle HoffmanBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Kimber SimmonsBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Brigitte I FrohnertBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Marian J RewersBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
University of Colorado Denver · US

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Edward L Melanson · 1995 to 2026
$32.6M
Natural History of Pre-Diabetic Autoimmunity (DAISY)R01DK032493 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI REWERS, MARIAN J · 1986 to 2024
$9.3M
Natural History of Pre-diabetic Autoimmunity (DAISY)R37DK032493 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI REWERS, MARIAN J · 2001 to 2010
$8.0M
Multiple Autoantigens/Multiple Epitopes of Type 1DMR01DK032083 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MICHELS, AARON W · 1986 to 2025
$6.9M
K12 Career DevelopmentK12DK094712 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI STECK, ANDREA · 2011 to 2021
$4.5M
MULTIPLE AUTOANTIGENS OF PRETYPE I DMR37DK032083 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI EISENBARTH, GEORGE S · 1992 to 1999
–
NIDDK NIH HHS K12 DK094712NIDDK NIH HHS P30 DK048520NIDDK NIH HHS R01 DK032083NIDDK NIH HHS R01 DK032493NIDDK NIH HHS R37 DK032083NIDDK NIH HHS R37 DK032493
6 · The paper itself

Abstract

contextAccurate measures are needed for the prediction and diagnosis of type 1 diabetes (T1D) in at-risk persons.

objectiveThe purpose of this study was to explore the value of continuous glucose monitoring (CGM) in predicting T1D onset. DESIGN AND

settingThe Diabetes Autoimmunity Study in the Young (DAISY) prospectively follows children at increased risk for development of islet autoantibodies (islet autoantibody positive; Ab+) and T1D.

participantsWe analyzed 23 Ab+ participants with available longitudinal CGM data.

main outcome measureCGM metrics as glycemic predictors of progression to T1D.

resultsOf 23 Ab+ participants with a baseline CGM, 8 progressed to diabetes at a median age of 13.8 years during a median follow-up of 17.7 years (interquartile range, 14.6 to 22.0 years). Compared with nonprogressors, participants who progressed to diabetes had significantly increased baseline glycemic variability (SD, 29 vs 21 mg/dL; P = 0.047), daytime sensor average (122 vs 106 mg/dL; P = 0.02), and daytime sensor area under the curve (AUC, 470,370 vs 415,465; P = 0.047). They spent 24% of time at >140 mg/dL and 12% at >160 mg/dL compared with, respectively, 8% and 3% for nonprogressors (both P = 0.005). A receiver-operating characteristic curve analysis showed an AUC of 0.85 for percentage of time spent at >140 or 160 mg/dL. The cutoff of 18% time spent at >140 mg/dL had 75% sensitivity, 100% specificity, and a 100% positive predictive value for diabetes prediction, although these values could change because some nonprogressors may develop diabetes with longer follow-up.

conclusionsEighteen percent or greater CGM time spent at >140 mg/dL predicts progression to diabetes in Ab+ children.

Indexed as

AdolescentAutoantibodiesBlood Glucose Self-MonitoringDiabetes Mellitus, Type 1Disease ProgressionFemaleHumansLongitudinal StudiesMalePredictive Value of TestsProspective StudiesROC CurveSensitivity and SpecificityYoung AdultAutoantibodies

Identifiers

PMID30844073
PMCPMC6589073
OpenAlexW2922408291

What OpenQuestion holds

Textmetadata
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.