Evidence map›Paper›PMID 36583553›Full record

ArticleJournal of veterinary internal medicine2023

Carbohydrate pellets to assess insulin dysregulation in horses.

Melody A de Laat, Tobias Warnken, Julien Delarocque, Dania B Reiche, Anne J Grob, Karsten Feige, Harry B Carslake, Andy E Durham, Martin N Sillence, Kristen E Thane and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of veterinary internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

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  4. Carbohydrate pellets to assess insulin dysregulation in horses.Journal of veterinary internal medicine · 2023
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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 7 institutions in 7 countries.

Melody A de LaatFaculty of Science, Queensland University of Technology, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0001-7922-3642
Tobias WarnkenBoehringer Ingelheim Vetmedica GmbH, Ingelheim, Germany.ORCID https://orcid.org/0000-0002-0741-4674
Julien DelarocqueClinic for Horses, University of Veterinary Medicine, Hannover, Germany.ORCID https://orcid.org/0000-0002-4598-3499
Dania B ReicheBoehringer Ingelheim Vetmedica GmbH, Ingelheim, Germany.
Anne J GrobClinic for Horses, University of Veterinary Medicine, Hannover, Germany.
Karsten FeigeClinic for Horses, University of Veterinary Medicine, Hannover, Germany.
Harry B CarslakeInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Andy E DurhamLiphook Equine Hospital, Liphook, UK.ORCID https://orcid.org/0000-0002-5420-1102
Martin N SillenceFaculty of Science, Queensland University of Technology, Brisbane, Queensland, Australia.
Kristen E ThaneDepartment of Comparative Pathobiology, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts, USA.ORCID https://orcid.org/0000-0001-5647-7340
Nicholas FrankDepartment of Comparative Pathobiology, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts, USA.ORCID https://orcid.org/0000-0002-0564-7976
Johan BrojerDepartment of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Sanna LindaseDepartment of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.ORCID https://orcid.org/0000-0001-6124-4015
Johanna SonntagBoehringer Ingelheim Vetmedica GmbH, Ingelheim, Germany.ORCID https://orcid.org/0000-0002-5066-808X
Boehringer Ingelheim (Germany) · DEUniversity of Veterinary Medicine Hannover, Foundation · DEQueensland University of Technology · AUSwedish University of Agricultural Sciences · SETufts University · USKalamazoo Psychiatric Hospital · USUniversity of Liverpool · GB

Funding

CTSA Postdoctoral T32 at Tufts UniversityT32TR004418 · NCATS · TUFTS UNIVERSITY BOSTON · PI DAVID M KENT · 2023 to 2026
$2.2M
Boehringer IngelheimNCATS NIH HHS T32 TR004418
6 · The paper itself

Abstract

backgroundA glycemic challenge test is used for the diagnosis of insulin dysregulation (ID) in horses and ponies. Different forms of the test exist where the administrative route and dose of glucose vary, which makes interpretation of results challenging. HYPOTHESIS/

objectivesTo evaluate the palatability of, and blood glucose and insulin responses to, carbohydrate pellets fed as an oral glucose test (OGT), and to establish the diagnostic threshold for ID when using the pellets. ANIMALS: University and privately-owned horses and ponies (n = 157) comprised of 31 breeds and both sexes.

methodsMulticenter cohort study. A custom-produced glycemic pellet was offered for free intake at 0.5 g/kg BW soluble carbohydrate and serum insulin and blood glucose concentrations measured before and after (60, 120, and 180 minutes) the pellets were offered. Pellet acceptance and intake time (those that finished within 10 minutes) were determined to assess palatability.

resultsThe pellets were palatable to 132/157 animals, and ponies found the pellets more (P = .004) palatable than horses. The median intake time (4 [3-6] minutes) was positively correlated with acceptance grade (r = .51; P < .0001). Consumption of the pellets elicited peak blood glucose (6.6 [5.8-7.8] mmol/L) and serum insulin (40.5 [19-99.8] μIU/mL) responses at 120 minutes. At 120 minutes the optimal cut-off was 83 μIU/mL (95% CI: 70-99 μIU/mL) for the IMMULITE 2000XPi assay. CONCLUSIONS AND CLINICAL IMPORTANCE: The pellets were palatable and a suitable, novel carbohydrate source for the OGT.

Indexed as

Horse DiseasesInsulinAnimalsBlood GlucoseCohort StudiesFemaleGlucoseGlucose Tolerance TestHorsesMaleBlood GlucoseGlucoseInsulinequine metabolic syndromehorsehyperinsulinemialaminitisoral glucose testpalatabilitypony

Identifiers

PMID36583553
PMCPMC9889680
OpenAlexW4313299153

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.