Evidence map›Paper›PMID 32787453›Full record

ArticleJournal of diabetes science and technology2021

Continuous Glucose Monitoring System in Acromegalic Patients: Possible Role in the Assessment of Glycemia Control.

Valeria Mercuri, Tania D'Amico, Denise Costa, Corrado De Vito, Luca D'Angelo, Riccardo Schiaffini, Patrizia Gargiulo

Open access · bronzeAbstract read
In one paragraph

Article in Journal of diabetes science and technology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. 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

7 authors at 2 institutions in 1 country.

Valeria MercuriDepartment of Experimental Medicine, Endocrinology, "Sapienza" University of Rome, Italy.
Tania D'AmicoDepartment of Experimental Medicine, Endocrinology, "Sapienza" University of Rome, Italy.
Denise CostaDepartment of Experimental Medicine, Endocrinology, "Sapienza" University of Rome, Italy.
Corrado De VitoDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy.
Luca D'AngeloDepartment of Human Neuroscience, Division of Neurosurgery, "Sapienza" University of Rome, Italy.
Riccardo SchiaffiniBambino Gesù Children's Hospital, Diabetes Unit, Rome, Italy.ORCID 0000-0002-9527-2353
Patrizia GargiuloDepartment of Experimental Medicine, Endocrinology, "Sapienza" University of Rome, Italy.ORCID 0000-0003-1216-2034
Sapienza University of Rome · ITBambino Gesù Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcromegaly is characterized by an insulin resistance condition. There is a significant difference between the different types of therapy in relation to the glycometabolic framework. The blinded continuous glucose monitoring system (CGMS), throughout a period of maximum 6 days for a total of 288 glycemic registrations per day, identifies glycemic excursions and could constitute a valid device to understand the 24-hour glycemic profiles. AIM OF THE STUDY: To compare the oral glucose tolerance test (OGTT) and CGMS methods in acromegalic patients to evaluate their glycemic profiles, in relation to different treatments for acromegaly.

methodsThirty-five acromegalic patients were divided into 18 somatostatin analogs (SSA), 9 pegvisomant, and 8 successfully surgically treated. A 72-hour CGM was performed and, immediately after, an OGTT.

resultsResults obtained from OGTT: 11/35 impaired fasting glucose, 6/35 impaired glucose tolerance, and 4/35 diabetes mellitus. A positive significant correlation was demonstrated between the OGTT peak and CGM peak in all of the patients, CGM peak of patients treated with SSA and those surgically treated, OGTT average and CGM area under concentration-time curve (AUC) for hyperglycemia of patients treated with SSA and those surgically treated, and CGM AUC for hyperglycemia of patients treated with SSA and those surgically treated.

conclusionsOur results show a significantly higher response in terms of mean and peak OGTT in patients treated with SSA, both compared to the CGM study, and compared to the group of patients receiving pegvisomant. The CGM system could represent an instrument for the evaluation of the glycemic trend of acromegalic patients.

Indexed as

AcromegalyGlucose IntoleranceBlood GlucoseBlood Glucose Self-MonitoringGlucose Tolerance TestHumansBlood GlucoseacromegalyCGMSinsulin resistanceOGTTpegvisomantSSA

Identifiers

PMID32787453
PMCPMC8655293
OpenAlexW3049236437

What OpenQuestion holds

Textmetadata
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Registered trials

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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.