Evidence map›Paper›PMID 36250461›Full record

ArticleThe Journal of clinical investigation2022

Elevations in blood glucose before and after the appearance of islet autoantibodies in children.

Katharina Warncke, Andreas Weiss, Peter Achenbach, Thekla von dem Berge, Reinhard Berner, Kristina Casteels, Lidia Groele, Konstantinos Hatzikotoulas, Angela Hommel, Olga Kordonouri and 9 more

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
9.2field-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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Impact of screening programmes for type 1 diabetes in youth: A systematic review and meta-analysis.Diabetic medicine : a journal of the British Diabetic Association · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 10 institutions in 5 countries.

Katharina WarnckeInstitute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Munich, Germany.
Andreas WeissInstitute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Munich, Germany.
Peter AchenbachInstitute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Munich, Germany.
Thekla von dem BergeKinder- und Jugendkrankenhaus auf der Bult, Hannover, Germany.
Reinhard BernerDepartment of Pediatrics, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Kristina CasteelsDepartment of Pediatrics, University Hospitals Leuven, Leuven, Belgium.
Lidia GroeleDepartment of Paediatrics, The Children's Clinical Hospital Józef Polikarp Brudziński, Warsaw, Poland.
Konstantinos HatzikotoulasInstitute of Translational Genomics, Helmholtz Munich, German Research Center for Environmental Health, Neuherberg, Germany.
Angela HommelTechnische Universität Dresden, Center for Regenerative Therapies Dresden, Dresden, Germany.
Olga KordonouriKinder- und Jugendkrankenhaus auf der Bult, Hannover, Germany.
Helena Elding LarssonUnit for Pediatric Endocrinology, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Markus LundgrenUnit for Pediatric Endocrinology, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Benjamin A MarcusInstitute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Munich, Germany.
Matthew D SnapeOxford Vaccine Group, University of Oxford Department of Paediatrics, and NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.
Agnieszka SzypowskaDepartment of Paediatrics, Medical University of Warsaw, Warsaw, Poland.
John A ToddWellcome Centre for Human Genetics, Nuffield Department of Medicine, NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.
Ezio BonifacioTechnische Universität Dresden, Center for Regenerative Therapies Dresden, Dresden, Germany.
Anette-G ZieglerInstitute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Munich, Germany.
GPPAD and POInT Study Groups
Helmholtz Zentrum München · DETUM Klinikum · DEKinderkrankenhaus auf der Bult · DELund University · SEPaul Langerhans Institute Dresden · DECentre for Human Genetics · GBKU Leuven · BEMedical University of Warsaw · PLOxford BioMedica (United Kingdom) · GBUniversity Hospital Carl Gustav Carus · DE

Funding

Wellcome 107212/Z/15/ZWellcome Trust
6 · The paper itself

Abstract

The etiology of type 1 diabetes has polygenic and environmental determinants that lead to autoimmune responses against pancreatic β cells and promote β cell death. The autoimmunity is considered silent without metabolic consequences until late preclinical stages,and it remains unknown how early in the disease process the pancreatic β cell is compromised. To address this, we investigated preprandial nonfasting and postprandial blood glucose concentrations and islet autoantibody development in 1,050 children with high genetic risk of type 1 diabetes. Pre- and postprandial blood glucose decreased between 4 and 18 months of age and gradually increased until the final measurements at 3.6 years of age. Determinants of blood glucose trajectories in the first year of life included sex, body mass index, glucose-related genetic risk scores, and the type 1 diabetes-susceptible INS gene. Children who developed islet autoantibodies had early elevations in blood glucose concentrations. A sharp and sustained rise in postprandial blood glucose was observed at around 2 months prior to autoantibody seroconversion, with further increases in postprandial and, subsequently, preprandial values after seroconversion. These findings show heterogeneity in blood glucose control in infancy and early childhood and suggest that islet autoimmunity is concurrent or subsequent to insults on the pancreatic islets.

Indexed as

Diabetes Mellitus, Type 1Islets of LangerhansAutoantibodiesAutoimmunityBlood GlucoseChildChild, PreschoolGenetic Predisposition to DiseaseHumansAutoantibodiesBlood GlucoseDiabetesImmunologyInsulin

Identifiers

PMID36250461
PMCPMC9566912
OpenAlexW4306360087

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.