Evidence map›Paper›PMID 34738571›Full record

ArticleActa bio-medica : Atenei Parmensis2021

Clinical and metabolic characteristics of children with hybrid diabetes mellitus (HD) compared to children with type 2 diabetes mellitus (T2DM): A preliminary comparative study.

Vincenzo De Sanctis, Ashraf Soliman, Fawzia Alyafei, Nada Alaaraj, Shayma Ahmed, Ahmed Elawwa, Noor Hamed

Open access · greenAbstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 25% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Children and Adolescents With Hybrid Diabetes: A Management Conundrum.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 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

7 authors at 1 institution in 1 country.

Vincenzo De SanctisQuisisana Hospital, Ferrara. vdesanctis@libero.it.
Ashraf SolimanDepartment of Pediatric Endocrinology, Hamad General Hospital, Doha, Qatar. . Atsoliman56@gmail.com.
Fawzia AlyafeiDepartment of Pediatric Endocrinology, Hamad General Hospital, Doha, Qatar. . FALYafei@hamad.qa.
Nada AlaarajDepartment of Pediatric Endocrinology, Hamad General Hospital, Doha, Qatar. . NALAaraj@hamad.qa.
Shayma AhmedDepartment of Pediatric Endocrinology, Hamad General Hospital, Doha, Qatar. . Smohammed5@hamad.qa.
Ahmed ElawwaDepartment of Pediatric Endocrinology, Hamad General Hospital, Doha, Qatar. . ahmedelawa@yahoo.com.
Noor HamedDepartment of Pediatric Endocrinology, Hamad General Hospital, Doha, Qatar. . NHamed@hamad.qa.
Hamad General Hospital · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe term double diabetes or "Hybrid Diabetes (HD)" describes diabetes with combined features of type 1 and type 2 diabetes (T2DM). PATIENTS AND

methodsWe report the clinical and biochemical characteristics of 7 children with HD and the course of their disease including the response to treatment. The data were compared to 59 children with a diagnosis of T2DM. Variables examined included age, height, weight, body mass index (BMI), triglycerides (Tg), high-density lipoprotein (HDL), and blood pressure. The Weiss criteria were used to diagnose metabolic syndrome (MetS). The atherogenic index of plasma (AIP) was calculated from the standard lipid profile. Four autoantibodies against pancreatic β-cell were measured in all patients.

resultsSignificant clinical and biochemical differences were detected among children with HD versus T2DM. The mean BMI of children with T2DM was significantly higher than for the HD group. At presentation, the mean C peptide level was significantly lower in HD versus T2DM group and 28% presented with diabetic ketoacidosis (DKA). The percentage of those with full criteria of MetS was significantly higher in T2DM versus HD group as well as the percentage of children with high atherogenic index. After a mean duration of 2.3 months from diagnosis, 4/7 of HD patients stopped insulin therapy and 3 patients had a marked reduction in the insulin requirement. During the follow-up (after 15 ±5 months), 5/7 HD patients required an increase in their insulin dose, one was controlled on a markedly low dose of basal insulin and the last patient did not require any insulin therapy for 40 months.

conclusionAppropriate assessment of HD is necessary for early and correct diagnosis. Increasing awareness of HD among the general population and primary care practitioners is necessary for successfully and properly treating this complex disease.

Indexed as

Diabetes Mellitus, Type 2Insulin ResistanceBody Mass IndexChildHumansInsulinTriglyceridesInsulinTriglycerides

Identifiers

PMID34738571
PMCPMC8689319
OpenAlexW3208385982

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.