Evidence map›Paper›PMID 31563156›Full record

ArticleJournal of diabetes investigation2020

Early sensory neurophysiological changes in prediabetes.

Yi-Chen Lin, Cindy Shin-Yi Lin, Tsui-San Chang, Jing-Er Lee, Jowy Tani, Hung-Ju Chen, Jia-Ying Sung

Abstract read
In one paragraph

Article in Journal of diabetes investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  11. Early sensory neurophysiological changes in prediabetes.Journal of diabetes investigation · 2020
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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.

Yi-Chen LinDepartment of Neurology, Taipei Municipal Wanfang Hospital, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0001-5889-1449
Cindy Shin-Yi LinNeural Regenerative Medicine, College of Medical Science and Technology, Taipei Medical University and National Health Research Institutes, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-2379-7369
Tsui-San ChangDepartment of Neurology, Taipei Municipal Wanfang Hospital, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-3775-9761
Jing-Er LeeDepartment of Neurology, Taipei Municipal Wanfang Hospital, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0001-8901-2726
Jowy TaniDepartment of Neurology, Taipei Municipal Wanfang Hospital, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-9979-6779
Hung-Ju ChenDepartment of Neurology, Taipei Municipal Wanfang Hospital, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-2730-6993
Jia-Ying SungDepartment of Neurology, Taipei Municipal Wanfang Hospital, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-0534-7882

Funding

Ministry of Science and Technology (MOST), Taipei, Taiwan MOST104-2314-B-038-012-1-3Taipei Medical UniversityTaipei Municipal Wanfang Hospital (WFH), Taipei Medical University 105-wf-eva-26Taipei Municipal Wanfang Hospital (WFH), Taipei Medical University 108-wf-eva-20
6 · The paper itself

Abstract

AIMS/

introductionTo elucidate whether axonal changes arise in the prediabetic state and to find a biomarker for early detection of neurophysiological changes. MATERIALS AND

methodsWe enrolled asymptomatic diabetes patients, as well as prediabetic and normoglycemic individuals to test sensory nerve excitability, and we analyzed those findings and their correlation with clinical profiles.

resultsIn nerve excitability tests, superexcitability in the recovery cycle showed increasing changes in the normoglycemic, prediabetes and diabetes cohorts (-19.09 ± 4.56% in normoglycemia, -22.39 ± 3.16% in prediabetes and -23.71 ± 5.15% in diabetes, P = 0.002). Relatively prolonged distal sensory latency was observed in the median nerve (3.12 ± 0.29 ms in normoglycemia, 3.23 ± 0.38 ms in prediabetes and 3.45 ± 0.43 ms in diabetes, P = 0.019). Superexcitability was positively correlated with fasting plasma glucose (r = 0.291, P = 0.009) and glycated hemoglobin (r = 0.331, P = 0.003) in all participants.

conclusionsSensory superexcitability and latencies are the most sensitive parameters for detecting preclinical physiological dysfunction in prediabetes. In addition, changes in favor of superexcitability were positively correlated with glycated hemoglobin for all participants. These results suggest that early axonal changes start in the prediabetic stage, and that the monitoring strategy for polyneuropathy should start as early as prediabetes.

Indexed as

Neural ConductionAgedAxonsDiabetes MellitusElectric StimulationFemaleHumansMaleMedian NerveMiddle AgedPrediabetic StateDiabetic polyneuropathiesPrediabetic stateSensory nerve excitability

Identifiers

PMID31563156
PMCPMC7078118

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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.