Evidence map›Paper›PMID 33740836›Full record

ArticleJournal of diabetes investigation2022

Basal insulin requirement in patients with type 1 diabetes depends on the age and body mass index.

Yukari Mitsui, Akio Kuroda, Masashi Ishizu, Hiroyasu Mori, Kiyoe Kurahashi, Takeshi Kondo, Sumiko Yoshida, Yuko Akehi, Ken-Ichi Aihara, Itsuro Endo and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06699485 (Short-term Effects of Carbohydrate-restricted Diet on Glycemic and Metabolic Control Among Children and Adolescent With Type 1 Diabetes Mellitus), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 26% 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.

NCT06699485 nacompletednot on this mapstarted 2025, after this paper: background citation

Short-term Effects of Carbohydrate-restricted Diet on Glycemic and Metabolic Control Among Children and Adolescent With Type 1 Diabetes Mellitus

TypeinterventionalSponsorSohag UniversityRan2025 to 2025Enrolled25ConditionsType 1 DiabetesArmsLow carb diet
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 14 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Yukari MitsuiDepartment of Hematology, Endocrinology and Metabolism Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Akio KurodaDiabetes Therapeutics and Research Center, Tokushima University, Tokushima, Japan.ORCID https://orcid.org/0000-0003-2147-6844
Masashi IshizuDiabetes Therapeutics and Research Center, Tokushima University, Tokushima, Japan.
Hiroyasu MoriDiabetes Therapeutics and Research Center, Tokushima University, Tokushima, Japan.
Kiyoe KurahashiDepartment of Hematology, Endocrinology and Metabolism Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Takeshi KondoDepartment of Endocrinology and Metabolism, Tokushima Red Cross Hospital, Komatsushima, Japan.
Sumiko YoshidaDepartment of Hematology, Endocrinology and Metabolism Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Yuko AkehiDiabetes Therapeutics and Research Center, Tokushima University, Tokushima, Japan.
Ken-Ichi AiharaDepartment of Community Medicine and Medical Science, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.ORCID https://orcid.org/0000-0001-8906-0920
Itsuro EndoDepartment of Bioregulatory Sciences, Tokushima University Graduate School of Medical Sciences, Tokushima, Japan.
Masahiro AbeDepartment of Hematology, Endocrinology and Metabolism Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Munehide MatsuhisaDiabetes Therapeutics and Research Center, Tokushima University, Tokushima, Japan.ORCID https://orcid.org/0000-0003-4624-939X
Tokushima University · JPTokushima Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionTo investigate the basal insulin requirement in patients with type 1 diabetes who are on multiple daily injections (MDI) and to assess the patient characteristics that affect the percent of total daily basal insulin dose to the total daily insulin dose (%TBD/TDD). MATERIALS AND

methodsThe subjects of this study were 67 inpatients with type 1 diabetes who were served diabetic meals of 25-30 kcal/kg standard body weight during several weeks of hospitalization. The basal insulin requirement was adjusted to keep the blood glucose level from bedtime to before breakfast within a 30 mg/dL difference. The bolus insulin dose before the meal was adjusted to keep the blood glucose level below 140 and 200 mg/dL before and 2 h after each meal, respectively. The total daily insulin dose (TDD), the percent of total daily basal insulin dose (TBD) to TDD (%TBD/TDD), and clinical characteristics were collected.

resultsThe median (Q1, Q3) of TDD was 33.0 (26.0, 49.0) units, and the %TBD/TDD was 24.1 ± 9.8%. The %TBD/TDD was positively correlated with the body mass index (BMI) and negatively correlated with the age at the onset and at the examination according to a univariate analysis. However, the %TBD/TDD was dependent on the BMI (β = 0.340, P = 0.004) and the age at examination (β = -0.288, P = 0.012) according to the multiple regression analysis.

conclusionsThe average %TBD/TDD in patients with type 1 diabetes on MDI was approximately 24% under inpatient conditions. The basal insulin requirement was dependent on the BMI and the age at examination.

Indexed as

Diabetes Mellitus, Type 1Blood GlucoseBody Mass IndexGlycated HemoglobinHumansHypoglycemic AgentsInsulinBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulinBasal insulinMultiple daily insulin therapyType 1 diabetes

Identifiers

PMID33740836
PMCPMC8847154
OpenAlexW3136076399

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.