Evidence map›Paper›PMID 31177179›Full record

ArticleDiabetes care2019

Exploring Patient Preferences for Adjunct-to-Insulin Therapy in Type 1 Diabetes.

Bruce A Perkins, Julio Rosenstock, Jay S Skyler, Lori M Laffel, David Z Cherney, Chantal Mathieu, Christianne Pang, Richard Wood, Ona Kinduryte, Jyothis T George and 2 more

Open access · greenAbstract read
In one paragraph

Article in Diabetes care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Efficacy and Safety of Sotagliflozin in Patients with Type 1 Diabetes and CKD.Journal of the American Society of Nephrology : JASN · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
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 8 institutions in 4 countries.

Bruce A PerkinsLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, and Division of Endocrinology and Metabolism, University of Toronto, Toronto, Canada bruce.perkins@sinaihealthsystem.ca nima.soleymanlou@boehringer-ingelheim.com.ORCID 0000-0002-5885-0046
Julio RosenstockDallas Diabetes Research Center at Medical City, Dallas, TX.ORCID 0000-0001-8324-3275
Jay S SkylerDiabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL.ORCID 0000-0003-1136-8110
Lori M LaffelJoslin Diabetes Center, Harvard Medical School, Boston, MA.ORCID 0000-0002-9675-3001
David Z CherneyDivision of Nephrology, Toronto General Hospital, University of Toronto, Toronto, Canada.ORCID 0000-0003-4164-0429
Chantal MathieuClinical and Experimental Endocrinology, University Hospital Leuven, Leuven, Belgium.ORCID 0000-0002-6099-2406
Christianne PangdQ&A, San Francisco, CA.
Richard WooddQ&A, San Francisco, CA.
Ona KinduryteBoehringer Ingelheim International GmbH, Ingelheim, Germany.
Jyothis T GeorgeBoehringer Ingelheim International GmbH, Ingelheim, Germany.
Jan MarquardBoehringer Ingelheim International GmbH, Ingelheim, Germany.
Nima SoleymanlouBoehringer Ingelheim (Canada) Ltd./Ltée, Burlington, Canada bruce.perkins@sinaihealthsystem.ca nima.soleymanlou@boehringer-ingelheim.com.
Boehringer Ingelheim (Germany) · DEBoehringer Ingelheim (Canada) · CADallas Diabetes Research Center · USJoslin Diabetes Center · USKU Leuven · BEMount Sinai Hospital · CAUniversity of Miami · USUniversity of Toronto · CA

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

objectiveWhile sodium-glucose cotransporter inhibitor (SGLTi) therapy has been evaluated in type 1 diabetes (T1D) trials, patient reactions to benefits and risks are unknown. Using established methodology, we evaluated patient preferences for different adjunct-to-insulin therapy options in T1D. RESEARCH DESIGN AND

methodsAn online survey, completed by 701 respondents with T1D (231 U.S., 242 Canada, and 228 Germany), used conjoint analysis to present six hypothetical, masked, pairwise drug profile choices composed of different benefit-risk attributes and effect ranges. Data used in analyses were derived from actual phase 3 trials of a low-dose SGLTi (comparable to oral empagliflozin 2.5 mg q.d.), a high-dose SGLTi (comparable to oral sotagliflozin 400 mg q.d.), and an available adjunct-to-insulin therapy (comparable to subcutaneous pramlintide 60 μg t.i.d.).

resultsConjoint analysis identified diabetic ketoacidosis risk as most important to patients (23% relative score;

conclusionsLow-dose SGLTi profile was the favored adjunct-to-insulin therapy by persons with T1D.

Indexed as

Patient PreferenceAdultClinical Trials, Phase III as TopicDiabetes Mellitus, Type 1Diabetic KetoacidosisDrug Therapy, CombinationFemaleHumansHypoglycemiaHypoglycemic AgentsInsulinMaleSodium-Glucose Transporter 2 InhibitorsWeight LossHypoglycemic AgentsInsulinSodium-Glucose Transporter 2 Inhibitors

Identifiers

PMID31177179
PMCPMC6973543
OpenAlexW2948950769

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.