Evidence map›Paper›PMID 37706129›Full record

ArticleCureus2023

Glycemic Control and Metabolic Parameters in Children and Adolescents With Type 1 Diabetes.

Marta Canha, Sofia Ferreira, Rita Santos Silva, Aida Azevedo, Ana S Rodrigues, Cintia Castro-Correia

Abstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

Marta CanhaEndocrinology, Diabetes and Metabolism, Centro Hospitalar Universitário São joão, Porto, PRT.
Sofia FerreiraPediatric Endocrinology and Diabetology Unit, Centro Hospitalar Universitário São joão, Porto, PRT.
Rita Santos SilvaPediatric Endocrinology and Diabetology Unit, Centro Hospitalar Universitário São joão, Porto, PRT.
Aida AzevedoPediatrics, Centro Hospitalar do Médio Ave, Vila Nova de Famalicão, PRT.
Ana S RodriguesPaediatrics, Centro Hospitalar do Médio Ave, Vila Nova de Famalicão, PRT.
Cintia Castro-CorreiaPediatric Endocrinology and Diabetology Unit, Centro Hospitalar Universitário São joão, Porto, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe association between glycemic control and metabolic status is poorly defined in children and adolescents with T1D, besides being biologically plausible. We aimed to evaluate the association between glycemic control and body mass index (BMI), blood pressure (BP), and lipid profile in children and adolescents with T1D.

methodsObservational cross-sectional study including children and adolescents (5-18 years old) followed in our outpatient clinic with the diagnosis of T1D for at least a year. We used linear regression models (unadjusted and adjusted to sex and age) to evaluate the association between glycated hemoglobin (A1c) and time in range (TIR), several prespecified metabolic parameters, and prespecified demographic and clinical characteristics. We considered a p-value of <0.05 to be statistically significant.

resultsA total of 144 patients were included, 51% of whom were female. The population had a mean age of 12.7±3.4 years old. We report a positive association between A1c and BMI, systolic and diastolic BP, total- and LDL-cholesterol and triglycerides. Females and patients diagnosed at a younger age presented with higher A1c values. There is a tendency for a negative association between TIR and the former parameters. Higher A1c levels and lower TIR were associated with higher glycemic variability and were treated with a higher basal insulin per Kg dose.

conclusionOur results support an important association between worse glycemic control and an unhealthier metabolic profile in children and adolescents with T1D. We can hypothesize that a good glycemic profile is needed to achieve good metabolic control at a young age.

Indexed as

a1cchildren and adolescentsmetabolic controltime-in-rangetype 1 diabetes

Identifiers

PMID37706129
PMCPMC10496859

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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.