Evidence map›Paper›PMID 38347569›Full record

ReviewCardiovascular diabetology2024

The double burden: type 1 diabetes and heart failure-a comprehensive review.

María Teresa Julián, Alejandra Pérez-Montes de Oca, Josep Julve, Nuria Alonso

Open access · goldAbstract readReview
In one paragraph

Review in Cardiovascular diabetology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
11.8field-weighted citation impact, top 1% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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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

4 authors at 3 institutions in 1 country.

María Teresa Julián *Department of Endocrinology and Nutrition, Hospital Germans Trias i Pujol, Badalona, Spain. mtjulian.germanstrias@gencat.cat.
Alejandra Pérez-Montes de Oca *Department of Endocrinology and Nutrition, Hospital Germans Trias i Pujol, Badalona, Spain.
Josep JulveInstitut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain.
Nuria AlonsoDepartment of Endocrinology and Nutrition, Hospital Germans Trias i Pujol, Badalona, Spain. nalonso32416@yahoo.es.
Hospital Universitari Germans Trias i Pujol · ESCentro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas · ESUniversitat Autònoma de Barcelona · ES

Funding

CIBER-Consorcio Centro de Investigación Biomédica en Red-CIBERDEM CB15/00071, D.M.Fundació la Marató de TV3 201602.30.31Instituto de Salud Carlos III PI17/01362
6 · The paper itself

Abstract

Heart failure (HF) is increasing at an alarming rate, primary due to the rising in aging, obesity and diabetes. Notably, individuals with type 1 diabetes (T1D) face a significantly elevated risk of HF, leading to more hospitalizations and increased case fatality rates. Several risk factors contribute to HF in T1D, including poor glycemic control, female gender, smoking, hypertension, elevated BMI, and albuminuria. However, early and intensive glycemic control can mitigate the long-term risk of HF in individuals with T1D. The pathophysiology of diabetes-associated HF is complex and multifactorial, and the underlying mechanisms in T1D remain incompletely elucidated. In terms of treatment, much of the evidence comes from type 2 diabetes (T2D) populations, so applying it to T1D requires caution. Sodium-glucose cotransporter 2 inhibitors have shown benefits in HF outcomes, even in non-diabetic populations. However, most of the information about HF and the evidence from cardiovascular safety trials related to glucose lowering medications refer to T2D. Glycemic control is key, but the link between hypoglycemia and HF hospitalization risk requires further study. Glycemic variability, common in T1D, is an independent HF risk factor. Technological advances offer the potential to improve glycemic control, including glycemic variability, and may play a role in preventing HF. In summary, HF in T1D is a complex challenge with unique dimensions. This review focuses on HF in individuals with T1D, exploring its epidemiology, risk factors, pathophysiology, diagnosis and treatment, which is crucial for developing tailored prevention and management strategies for this population.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2Heart FailureFemaleGlucoseHumansHypoglycemic AgentsGlucoseHypoglycemic AgentsDiabetes mellitusDiabetic cardiomyopathyHeart failureType 1 diabetes

Identifiers

PMID38347569
PMCPMC10863220
OpenAlexW4391743346

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.