Evidence map›Paper›PMID 38168834›Full record

Trial reportEndocrine2024

The effect of SGLT2i on the GH/IGF1 axis in newly diagnosed male T2D patients - a prospective, randomized case-control study.

Jing Lin, Liqin Zhan, Zheng Chen, Xiaying Lin, Rongfeng Zhu

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Endocrine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  2. 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

5 authors at 1 institution in 1 country.

Jing LinDepartment of Endocrinology, The 95th Hospital of Putian, Putian, Fujian, 351100, P.R. China.
Liqin ZhanDepartment of Endocrinology, The 95th Hospital of Putian, Putian, Fujian, 351100, P.R. China.
Zheng ChenDepartment of Endocrinology, The 95th Hospital of Putian, Putian, Fujian, 351100, P.R. China.
Xiaying LinDepartment of Endocrinology, The 95th Hospital of Putian, Putian, Fujian, 351100, P.R. China.
Rongfeng ZhuDepartment of Endocrinology, The 95th Hospital of Putian, Putian, Fujian, 351100, P.R. China. 123357213@qq.com.ORCID 0009-0001-0864-499X
Putian University · CN

Funding

Putian Science and Technology Bureau, Fujian province, China 2021SJ003
6 · The paper itself

Abstract

purposeTo investigate the effect of SGLT2i on the GH/IGF1 axis in male patients with newly diagnosed type 2 diabetes (T2D).

methodsSixty male patients with newly diagnosed T2D were recruited, and randomly assigned to Metformin+SGLT2i group or Metformin group after baseline assessment. All patients received standard lifestyle interventions, and blood indices were obtained before and after 12 weeks of treatment.

resultsAfter 12 weeks of treatment with Metformin+SGLT2i, there were noteworthy improvements in patients' FPG (Fasting plasma glucose), HBA1c, HOMA-IR, HOMA-β, TyG (Triglyceride-glucose) index and UACR (P < 0.05). Both IGF1 (P = 0.01) and the IGF1/IGFBP3 ratio (P < 0.01) considerably increased, while GH and IGFBP3 did not show significant changes. When comparing Metformin+SGLT2i group to Metformin group, SGLT2i significantly improved HOMA-IR [P = 0.04], and elevated IGF1/IGFBP3 ratio [P = 0.04], SGLT2i showed a tendency of increasing IGF1 (P = 0.10), but this was not statistically meaningful. There was no effect on GH and IGFBP3. Correlation analysis showed that blood IGF1 was negatively correlated with FPG, HBA1c, HOMA-IR, TyG index and positively correlated with IGFBP3. Regression analysis indicated that FPG and testosterone had a negative effect on blood IGF1 level, while HOMA-IR had no obvious effect.

conclusionIn male patients with newly diagnosed T2D, SGLT2i can increase IGF1/IGFBP3 ratio, alleviate insulin resistance, but has no significant effect on GH and IGF1 levels. Additionally, our study showed that Metformin+SGLT2i treatment resulted in an increase in blood IGF1 levels and improved insulin resistance, suggesting a potentially beneficial role of IGF1 in newly diagnosed T2D.

Indexed as

Diabetes Mellitus, Type 2Insulin ResistanceMetforminBlood GlucoseCase-Control StudiesGlycated HemoglobinHumansHypoglycemic AgentsInsulin-Like Growth Factor IMaleProspective StudiesBlood GlucoseGlycated HemoglobinHypoglycemic AgentsIGF1 protein, humanInsulin-Like Growth Factor IMetforminGH/IGF1 axisInsulin resistanceNewly diagnosed T2D in malesSGLT2i

Identifiers

PMID38168834
OpenAlexW4390496401

What OpenQuestion holds

Texttitle and abstract
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.