Evidence map›Paper›PMID 31669629›Full record

ArticleDiabetes research and clinical practice2019

Clinical features, biochemistry and HLA-DRB1 status in children and adolescents with diabetes in Dhaka, Bangladesh.

Bedowra Zabeen, Denira Govender, Zahid Hassan, Janelle Annette Noble, Julie A Lane, Steven John Mack, Mark Alvin Atkinson, Kishwar Azad, Clive Henry Wasserfall, Graham David Ogle

Open access · greenAbstract read
In one paragraph

Article in Diabetes research and clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Guideline
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  3. Article
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  5. Review
  6. Diabetes Study of Children of Diverse Ethnicity and Race: Study design.Diabetes/metabolism research and reviews · 2024
    Observational
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  8. Review
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  16. Fibrocalculous Pancreatic Diabetes.Current diabetes reports · 2020
    Review
  17. 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

10 authors at 4 institutions in 3 countries.

Bedowra ZabeenDepartment of Changing Diabetes in Children, Bangladesh Institute of Research and Rehabilitation of Diabetes, Endocrine and Metabolic Disorders, Dhaka, Bangladesh.
Denira GovenderLife for a Child Program, Diabetes NSW, Glebe, NSW 2037, Australia; Sydney Medical School, University of Sydney, NSW 2006, Australia. Electronic address: dgov8678@uni.sydney.edu.au.
Zahid HassanDept of Physiology and Molecular Biology, Bangladesh University of Health Sciences (BUHS), Mirpur-1, Dhaka, Bangladesh & Dept of Physiology, Tairunnessa Memorial Medical College, Gazipur, Bangladesh. Electronic address: mzhassan@buhs.ac.bd.
Janelle Annette NobleChildren's Hospital Oakland Research Institute, Oakland, CA 94609, USA. Electronic address: jnoble@chori.org.
Julie A LaneChildren's Hospital Oakland Research Institute, Oakland, CA 94609, USA. Electronic address: howlane@sbcglobal.net.
Steven John MackChildren's Hospital Oakland Research Institute, Oakland, CA 94609, USA. Electronic address: sjmack@chori.org.
Mark Alvin AtkinsonDepartment of Pathology, Immunology and Laboratory Medicine, College of Medicine, Diabetes Institute, University of Florida, Gainesville, FL 32610, USA; Department of Pediatrics, College of Medicine, Diabetes Institute, University of Florida, Gainesville, FL 32610, USA. Electronic address: atkinson@ufl.edu.
Kishwar AzadDepartment of Changing Diabetes in Children, Bangladesh Institute of Research and Rehabilitation of Diabetes, Endocrine and Metabolic Disorders, Dhaka, Bangladesh. Electronic address: pcp@dab-bd.org.
Clive Henry WasserfallDepartment of Pathology, Immunology and Laboratory Medicine, College of Medicine, Diabetes Institute, University of Florida, Gainesville, FL 32610, USA. Electronic address: wasserfa@pathology.ufl.edu.
Graham David OgleSydney Medical School, University of Sydney, NSW 2006, Australia; Diabetes NSW, Sydney, Australia. Electronic address: grahamo@diabetesnsw.com.au.
Bangladesh Institute of Research and Rehabilitation for Diabetes Endocrine and Metabolic Disorders · BDDiabetes Australia · AUUniversity of Florida · USBangladesh University of Health Sciences · BD

Funding

Project 3P01AI042288 · NIAID · UNIVERSITY OF FLORIDA · PI Todd Michael Brusko · 1997 to 2026
$32.9M
Integrated Exchange and Storage of Current- and Future-Generation Immunogenomic DataR01AI128775 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JILL Allison HOLLENBACH, STEVEN JOHN MACK · 2017 to 2026
$4.5M
NIAID NIH HHS P01 AI042288NIAID NIH HHS R01 AI128775
6 · The paper itself

Abstract

aimsLittle information is published on diabetes in young people in Bangladesh. We aimed to investigate the demographic, clinical, and biochemical features, and HLA-DRB1 alleles in new cases of diabetes affecting Bangladeshi children and adolescents <22 years of age.

methodsThe study was conducted at Bangladesh Institute of Research and Rehabilitation of Diabetes, Endocrine and Metabolic Disorders (BIRDEM) in Dhaka. One hundred subjects aged <22 years at diagnosis were enrolled. Demographic characteristics, clinical information, biochemical parameters (blood glucose, HbA1c, C-peptide, and autoantibodies against glutamic acid decarboxylase 65 (GADA) and islet antigen-2 (IA-2A) were measured. High-resolution DNA genotyping was performed for HLA-DRB1.

resultsEighty-four subjects were clinically diagnosed as type 1 diabetes (T1D), seven as type 2 diabetes (T2D), and nine as fibrocalculous pancreatic disease (FCPD). Of the 84 with T1D, 37 (44%) were males and 47 (56%) females, with median age at diagnosis 13 years (y) (range 1.6-21.7) and peak age at onset 12-15 years. 85% of subjects were assessed within one month of diagnosis and all within eleven months. For subjects diagnosed with T1D, mean C-peptide was 0.46 ± 0.22 nmol/L (1.40 ± 0.59 ng/mL), with 9 (10.7%) IA-2A positive, 22 (26%) GADA positive, and 5 (6%) positive for both autoantibodies. Analysis of HLA-DRB1 genotypes revealed locus-level T1D association (p = 6.0E-05); DRB1*04:01 appeared predisposing (p < 3.0E-06), and DRB1*14:01 appeared protective (p = 1.7E-02).

conclusionsAtypical forms of T1D appear to be more common in young people in Bangladesh than in European populations. This will be helpful in guiding more specific assessment at onset and potentially, expanding treatment options.

Indexed as

AdolescentAdultBangladeshChildChild, PreschoolC-PeptideDiabetes Mellitus, Type 2FemaleHLA-DRB1 ChainsHumansInfantMaleYoung AdultC-PeptideHLA-DRB1 ChainsAutoantibodyAutoimmunityBangladeshChildhood diabetesChildrenC-peptideDiabetesHLAType 1 diabetes

Identifiers

PMID31669629
PMCPMC6988504
OpenAlexW2981837178

What OpenQuestion holds

Textmetadata
LicenceTDM
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.