Evidence map›Paper›PMID 34338806›Full record

ArticleDiabetologia2021

Simplifying prediction of disease progression in pre-symptomatic type 1 diabetes using a single blood sample.

Naiara G Bediaga, Connie S N Li-Wai-Suen, Michael J Haller, Stephen E Gitelman, Carmella Evans-Molina, Peter A Gottlieb, Markus Hippich, Anette-Gabriele Ziegler, Ake Lernmark, Linda A DiMeglio and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06815081 (A Study to Determine a Capillary Alternative to the Gold Standard Oral Glucose Tolerance Test), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% 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.

NCT06815081 recruitingnot on this mapstarted 2024, after this paper: background citation

A Study to Determine a Capillary Alternative to the Gold Standard Oral Glucose Tolerance Test

TypeobservationalSponsorUniversity of OxfordRan2024 to 2027Enrolled135ConditionsType 1 Diabetes (T1D), Type 2 Diabetes
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Guideline
  4. Review
  5. Article
  6. The evolution of C-peptide's role in diabetes care.Current opinion in endocrinology, diabetes, and obesity · 2026
    Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
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  17. Article
  18. Article
  19. Time to reframe the disease staging system for type 1 diabetes.The lancet. Diabetes & endocrinology · 2024
    Review
  20. 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

14 authors at 10 institutions in 5 countries.

Naiara G BediagaDepartment of Population Health and Immunity, Walter and Eliza Hall Institute, Parkville, VIC, Australia.ORCID 0000-0002-7363-0068
Connie S N Li-Wai-SuenDepartment of Medical Biology, University of Melbourne, Parkville, VIC, Australia.ORCID 0000-0003-0529-0804
Michael J HallerUniversity of Florida Diabetes Institute, Gainesville, FL, USA.
Stephen E GitelmanDepartment of Pediatrics and Diabetes Center, University of California at San Francisco, San Francisco, CA, USA.ORCID 0000-0003-4186-4107
Carmella Evans-MolinaCenter for Diabetes and Metabolic Diseases, Indiana University School of Medicine, Indianapolis, IN, USA.ORCID 0000-0001-7764-8663
Peter A GottliebBarbara Davis Center, University of Colorado School of Medicine, Aurora, CO, USA.
Markus HippichHelmholtz Zentrum München, Institute of Diabetes Research, German Research Center for Environmental Health, Munich-Neuherberg, Germany.ORCID 0000-0001-6253-2596
Anette-Gabriele ZieglerHelmholtz Zentrum München, Institute of Diabetes Research, German Research Center for Environmental Health, Munich-Neuherberg, Germany.ORCID 0000-0002-6290-5548
Ake LernmarkDepartment of Clinical Sciences, Lund University/CRC, Skåne University Hospital, Malmö, Sweden. ake.lernmark@med.lu.se.ORCID 0000-0003-1735-0499
Linda A DiMeglioCenter for Diabetes and Metabolic Diseases, Indiana University School of Medicine, Indianapolis, IN, USA.ORCID 0000-0002-8033-6078
Diane K WherrettDivision of Endocrinology, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Peter G ColmanDepartment of Diabetes and Endocrinology, Royal Melbourne Hospital, Parkville, VIC, Australia.ORCID 0000-0001-8718-6175
Leonard C HarrisonDepartment of Population Health and Immunity, Walter and Eliza Hall Institute, Parkville, VIC, Australia.ORCID 0000-0002-2500-8944
John M WentworthDepartment of Population Health and Immunity, Walter and Eliza Hall Institute, Parkville, VIC, Australia. wentworth@wehi.edu.au.ORCID 0000-0002-5197-3529
The University of Melbourne · AUIndiana University School of MedicineThe Royal Melbourne Hospital · AUHelmholtz Zentrum München · DELund University · SETUM Klinikum · DEUniversity of California, San Francisco · USUniversity of Colorado Denver · USUniversity of Florida · USUniversity of Toronto · CA

Funding

Revision to the Coordinating Center for Type 1 Diabetes TrialNetU01DK106993 · NIDDK · UNIVERSITY OF SOUTH FLORIDA · PI JEFFREY P KRISCHER, SAMUEL S WU · 2019 to 2026
$181.3M
Data Coordinating Center for Type 1 Diabetes TrialNet (UC4)USF: TrialNet UC4-3UC4DK117009 · NIDDK · UNIVERSITY OF SOUTH FLORIDA · PI KRISCHER, JEFFREY P · 2017 to 2019
$49.6M
NIDDK Type 1 Diabetes TrialNet Data Coordinating CenterUC4DK106993 · NIDDK · UNIVERSITY OF SOUTH FLORIDA · PI KRISCHER, JEFFREY P · 2015 to 2015
$36.6M
Translation CoreP30DK097512 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI Carmella Evans-Molina · 2015 to 2026
$17.4M
Type 1 Diabetes TrialNet Clinical Network HubU01DK103282 · NIDDK · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI CARLA J GREENBAUM, KURT J GRIFFIN · 2014 to 2026
$14.2M
Northwest Clinical Center for Type 1 Diabetes - TrialNetU01DK061034 · NIDDK · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI GREENBAUM, CARLA J · 2001 to 2018
$10.3M
Type I Diabetes Trialnet at StsnfordU01DK061042 · NIDDK · STANFORD UNIVERSITY · PI WILSON, DARRELL M · 2001 to 2018
$8.5M
UCSF Trialnet: A Phase II Trial of Imatimib in New Onset Type I DiabetesU01DK061010 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GITELMAN, STEPHEN E · 2001 to 2018
$8.1M
Type 1 Diabetes-A Proposal for Prevention & InterventionU01DK085476 · NIDDK · UNIVERSITY OF MINNESOTA · PI MORAN, ANTOINETTE M. · 2009 to 2018
$7.1M
The Integrated Stress Response in Human Islets During Early T1DU01DK127786 · NIDDK · UNIVERSITY OF CHICAGO · PI EVANS-MOLINA, CARMELLA, MIRMIRA, RAGHAVENDRA G · 2020 to 2025
$7.1M
Prediction and Prevention of Type I DiabetesU01DK061058 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BECKER, DOROTHY J · 2001 to 2018
$6.5M
TrialNet: University of Florida Clinical Center and NetworkU01DK085461 · NIDDK · UNIVERSITY OF FLORIDA · PI HALLER, MICHAEL JAMES · 2009 to 2018
$5.9M
NIDDK NIH HHS P30 DK097512NIDDK NIH HHS R01 DK127308NIDDK NIH HHS U01 DK061010NIDDK NIH HHS U01 DK061034NIDDK NIH HHS U01 DK061042NIDDK NIH HHS U01 DK061058NIDDK NIH HHS U01 DK085453NIDDK NIH HHS U01 DK085461NIDDK NIH HHS U01 DK085465NIDDK NIH HHS U01 DK085466NIDDK NIH HHS U01 DK085476NIDDK NIH HHS U01 DK085499NIDDK NIH HHS U01 DK085504NIDDK NIH HHS U01 DK085509NIDDK NIH HHS U01 DK103153NIDDK NIH HHS U01 DK103180NIDDK NIH HHS U01 DK103266NIDDK NIH HHS U01 DK103282NIDDK NIH HHS U01 DK106984NIDDK NIH HHS U01 DK106993NIDDK NIH HHS U01 DK106994NIDDK NIH HHS U01 DK107013NIDDK NIH HHS U01 DK107014NIDDK NIH HHS U01 DK127786NIDDK NIH HHS UC4 DK106993NIDDK NIH HHS UC4 DK117009
6 · The paper itself

Abstract

aims/hypothesisAccurate prediction of disease progression in individuals with pre-symptomatic type 1 diabetes has potential to prevent ketoacidosis and accelerate development of disease-modifying therapies. Current tools for predicting risk require multiple blood samples taken during an OGTT. Our aim was to develop and validate a simpler tool based on a single blood draw.

methodsModels to predict disease progression using a single OGTT time point (0, 30, 60, 90 or 120 min) were developed using TrialNet data collected from relatives with type 1 diabetes and validated in independent populations at high genetic risk of type 1 diabetes (TrialNet, Diabetes Prevention Trial-Type 1, The Environmental Determinants of Diabetes in the Young [1]) and in a general population of Bavarian children who participated in Fr1da.

resultsCox proportional hazards models combining plasma glucose, C-peptide, sex, age, BMI, HbA CONCLUSIONS/

interpretationPrediction models based on a single OGTT blood draw accurately predict disease progression from stage 1 or 2 to stage 3 type 1 diabetes. The operational simplicity of M

Indexed as

Asymptomatic DiseasesAdolescentArea Under CurveAutoantibodiesBlood GlucoseBody Mass IndexChildChild, PreschoolC-PeptideDiabetes Mellitus, Type 1Disease ProgressionFemaleGlucose Tolerance TestGlycated HemoglobinHumansInsulin AntibodiesAutoantibodiesBlood GlucoseC-PeptideGlycated Hemoglobinhemoglobin A1c protein, humanInsulin AntibodiesPTPRN protein, humanReceptor-Like Protein Tyrosine Phosphatases, Class 8SLC30A8 protein, humanZinc Transporter 8Disease progressionOGTTPredictionPreventionRisk stratificationType 1 diabetes

Identifiers

PMID34338806
PMCPMC8494707
OpenAlexW3188141723

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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.