Evidence map›Paper›PMID 33446523›Full record

ArticleDiabetes care2021

Insulin Resistance Is Associated With Enhanced Brain Glucose Uptake During Euglycemic Hyperinsulinemia: A Large-Scale PET Cohort.

Eleni Rebelos, Marco Bucci, Tomi Karjalainen, Vesa Oikonen, Alessandra Bertoldo, Jarna C Hannukainen, Kirsi A Virtanen, Aino Latva-Rasku, Jussi Hirvonen, Ilkka Heinonen and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Brain effect of bariatric surgery in people with obesity.International journal of obesity (2005) · 2022
    Trial
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  20. The brain's "dark energy" puzzle: How strongly is glucose metabolism linked to resting-state brain activity?Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    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

16 authors at 4 institutions in 3 countries.

Eleni RebelosTurku PET Centre, University of Turku, Turku, Finland.ORCID 0000-0003-3050-8692
Marco BucciTurku PET Centre, University of Turku, Turku, Finland.
Tomi KarjalainenTurku PET Centre, University of Turku, Turku, Finland.
Vesa OikonenTurku PET Centre, University of Turku, Turku, Finland.
Alessandra BertoldoDepartment of Information Engineering, University of Padova, Padua, Italy.
Jarna C HannukainenTurku PET Centre, University of Turku, Turku, Finland.
Kirsi A VirtanenTurku PET Centre, University of Turku, Turku, Finland.
Aino Latva-RaskuTurku PET Centre, University of Turku, Turku, Finland.
Jussi HirvonenDepartment of Radiology, Turku University Hospital and University of Turku, Turku, Finland.
Ilkka HeinonenTurku PET Centre, University of Turku, Turku, Finland.ORCID 0000-0001-8608-4839
Riitta ParkkolaDepartment of Radiology, Turku University Hospital and University of Turku, Turku, Finland.
Markku LaaksoInstitute of Clinical Medicine, Internal Medicine, University of Eastern Finland, Kuopio, Finland.ORCID 0000-0002-3394-7749
Ele FerranniniInstitute of Clinical Physiology, National Research Council, Pisa, Italy.ORCID 0000-0002-1384-1584
Patricia IozzoTurku PET Centre, University of Turku, Turku, Finland.ORCID 0000-0001-6443-7074
Lauri NummenmaaTurku PET Centre, University of Turku, Turku, Finland.
Pirjo NuutilaTurku PET Centre, University of Turku, Turku, Finland pirjo.nuutila@utu.fi.ORCID 0000-0001-9597-338X
University of Turku · FIIstituto di Fisiologia Clinica · ITUniversity of Eastern Finland · FIUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWhereas insulin resistance is expressed as reduced glucose uptake in peripheral tissues, the relationship between insulin resistance and brain glucose metabolism remains controversial. Our aim was to examine the association of insulin resistance and brain glucose uptake (BGU) during a euglycemic hyperinsulinemic clamp in a large sample of study participants across a wide range of age and insulin sensitivity. RESEARCH DESIGN AND

methods[

resultsInsulin sensitivity, indexed by the M value, was associated negatively with BGU in all brain regions, confirming that in insulin-resistant participants BGU was enhanced during euglycemic hyperinsulinemia. In addition, the presence of type 2 diabetes was associated with additional increase in BGU. On the contrary, age was negatively related to BGU. Steady-state insulin levels, C-reactive protein and free fatty acid levels, sex, and HbA

conclusionsIn this large cohort of participants of either sex across a wide range of age and insulin sensitivity, insulin sensitivity was the best predictor of BGU.

Indexed as

Diabetes Mellitus, Type 2HyperinsulinismInsulin ResistanceBayes TheoremBlood GlucoseBrainGlucoseGlucose Clamp TechniqueHumansInsulinPositron-Emission TomographyBlood GlucoseGlucoseInsulin

Identifiers

PMID33446523
PMCPMC7896252
OpenAlexW3121105422

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.