Evidence map›Paper›PMID 35900910›Full record

ReviewDiabetic medicine : a journal of the British Diabetic Association2022

Developing services to support the delivery of care to people with early-onset type 2 diabetes.

Shivani Misra, David Gable, Kamlesh Khunti, Emma Barron, Bob Young, Partha Kar, Jonathan Valabhji

Open access · greenAbstract readReview
In one paragraph

Review in Diabetic medicine : a journal of the British Diabetic Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Designing a regional clinical service for people with early-onset type 2 diabetes in England.Diabetic medicine : a journal of the British Diabetic Association · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Developing services to support the delivery of care to people with early-onset type 2 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2022
    Review
  10. 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 4 institutions in 1 country.

Shivani MisraDivision of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
David GableDepartment of Diabetes and Endocrinology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Kamlesh KhuntiDiabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.ORCID 0000-0003-2343-7099
Emma BarronNHS England and NHS Improvement, London, UK.ORCID 0000-0001-6257-9044
Bob YoungNational Diabetes Audit Programme, NHS England and NHS Improvement, London, UK.
Partha KarNHS England and NHS Improvement, London, UK.
Jonathan ValabhjiDivision of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
Imperial College Healthcare NHS Trust · GBNHS EnglandPortsmouth Hospitals NHS Trust · GBUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early-onset type 2 diabetes occurring in childhood or early adulthood carries a significant excess burden of microvascular diabetes complications, cardiovascular disease and premature death, compared to later onset type 2 diabetes along with adverse pregnancy outcomes in women of child-bearing age. National audit data in England reveal that 122,780 individuals under the age of 40 years are currently living with type 2 diabetes, with an over-representation of people from minority ethnicities and those in the most socioeconomically deprived quintiles. A diagnosis of type 2 diabetes earlier in life poses some unique challenges to healthcare providers that are not routinely encountered when type 2 diabetes presents later. These include; (1) the need to ensure correct diabetes classification in an age group that carries a higher probability of other types of diabetes, (2) overcoming difficulties in engaging with individuals who are of working age or in full-time education, (3) appreciating and addressing the lower attainment of diabetes treatment targets and (4) proactively supporting women of child-bearing age to optimise their future pregnancy outcomes through better preparation for pregnancy, including achieving optimum glycaemic control at the time of conception. Meanwhile, approaches to prevent type 2 diabetes in younger age groups are challenged by difficulties in identifying those at highest risk, by poorer attendance at lifestyle interventions to prevent or delay the onset of type 2 diabetes and by attenuation of associated weight loss in those that do attend. In this article, we discuss the importance of recognising and addressing the distinct challenges in delivering healthcare to those with early-onset type 2 diabetes, the greater challenges in preventing type 2 diabetes at younger ages, and key components of strategies that might address these challenges to drive improvements in pregnancy outcomes, microvascular and cardiovascular outcomes.

Indexed as

Diabetes Mellitus, Type 2AdultEthnicityFemaleHumansLife StyleMinority GroupsPregnancyPregnancy Outcomedeprivationethnic minoritypregnancyservice provisiontype 2 diabetesyoung adults

Identifiers

PMID35900910
PMCPMC9542364
OpenAlexW4288447618

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.