Evidence map›Paper›PMID 34971391›Full record

ArticleThe Journal of clinical endocrinology and metabolism2022

Incident Diabetes Risk Is Not Increased in Transgender Individuals Using Hormone Therapy.

Daan van Velzen, Chantal Wiepjes, Nienke Nota, Daniel van Raalte, Renée de Mutsert, Suat Simsek, Martin den Heijer

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Insulin Sensitivity and Associated Plasma Proteomics During Sex Hormone Therapy.The Journal of clinical endocrinology and metabolism · 2026
    Observational
  3. Article
  4. Article
  5. Article
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  7. Article
  8. Article
  9. Review
  10. Observational
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Prevalence of cancer risk factors among transgender and gender diverse individuals: a cross-sectional analysis using UK primary care data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  17. Review
  18. Review
  19. Implications of gender-affirming endocrine care for sports participation.Therapeutic advances in endocrinology and metabolism · 2023
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Daan van VelzenDepartment of Internal Medicine, Division of Endocrinology, Amsterdam University Medical Centre, 1081HV Amsterdam, the Netherlands.ORCID 0000-0003-1820-3140
Chantal WiepjesDepartment of Internal Medicine, Division of Endocrinology, Amsterdam University Medical Centre, 1081HV Amsterdam, the Netherlands.ORCID 0000-0002-8280-0065
Nienke NotaDepartment of Internal Medicine, Division of Endocrinology, Amsterdam University Medical Centre, 1081HV Amsterdam, the Netherlands.ORCID 0000-0003-1394-4441
Daniel van RaalteDepartment of Internal Medicine, Division of Endocrinology, Amsterdam University Medical Centre, 1081HV Amsterdam, the Netherlands.ORCID 0000-0003-2894-6124
Renée de MutsertDepartment of Clinical Epidemiology, Leiden University Medical Centre, 2333ZA Leiden, the Netherlands.
Suat SimsekDepartment of Internal Medicine, Division of Endocrinology, Amsterdam University Medical Centre, 1081HV Amsterdam, the Netherlands.ORCID 0000-0001-8942-1503
Martin den HeijerDepartment of Internal Medicine, Division of Endocrinology, Amsterdam University Medical Centre, 1081HV Amsterdam, the Netherlands.ORCID 0000-0003-3620-5617
University of Amsterdam · NLLeiden University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextIn trans women receiving hormone therapy, body fat and insulin resistance increases, with opposite effects in trans men. These metabolic alterations may affect the risk of developing type 2 diabetes in trans women and trans men. CONTEXT: We aimed to compare the incidence of type 2 diabetes of adult trans women and trans men during hormone therapy with rates from their birth-assigned sex in the general population.

methodsRetrospective data from the Amsterdam Cohort of Gender Dysphoria with transgender individuals on hormone therapy between 1972 and 2018 were linked to a nationwide health data registry. Because no central registry of diabetes is available, the occurrence of diabetes was inferred from the first dispense of a glucose-lowering agent. Standardized incidence ratios (SIR) were computed for trans women and trans men in comparison with the same birth sex from the general population.

resultsCompared with their birth-assigned sex in the general population, no difference in the incidence of type 2 diabetes mellitus was observed in trans women (N = 2585, 90 cases; SIR 0.94; 95% CI, 0.76-1.14) or trans men (N = 1514, 32 cases; SIR 1.40; 95% CI, 0.96-1.92).

conclusionDespite studies reporting an increase in insulin resistance in feminizing hormone therapy and a decrease in insulin resistance in masculinizing hormone therapy, the incidence of diabetes in transgender individuals after initiation of hormone therapy was not different compared with the general population.

Indexed as

Diabetes Mellitus, Type 2Insulin ResistanceTransgender PersonsAdultFemaleHormonesHumansMaleRetrospective StudiesHormonesdiabetes mellitushormone therapytransgender endocrine care

Identifiers

PMID34971391
PMCPMC9016430
OpenAlexW4206334326

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.