Evidence map›Paper›PMID 38780786›Full record

ArticleDiabetologia2024

Heterogeneity of glycaemic phenotypes in type 1 diabetes.

Guy Fagherazzi, Gloria A Aguayo, Lu Zhang, Hélène Hanaire, Sylvie Picard, Laura Sablone, Bruno Vergès, Naïma Hamamouche, Bruno Detournay, Michael Joubert and 21 more

Abstract read
In one paragraph

Article in Diabetologia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

31 authors.

Guy FagherazziDeep Digital Phenotyping Research Unit, Department of Precision Health, Luxembourg Institute of Health, Strassen, Luxembourg. Guy.Fagherazzi@lih.lu.ORCID http://orcid.org/0000-0001-5033-5966
Gloria A AguayoDeep Digital Phenotyping Research Unit, Department of Precision Health, Luxembourg Institute of Health, Strassen, Luxembourg.ORCID http://orcid.org/0000-0002-5625-1664
Lu ZhangBioinformatics Platform, Luxembourg Institute of Health, Strassen, Luxembourg.ORCID http://orcid.org/0000-0001-7141-6730
Hélène HanaireDepartment of Diabetology, Metabolic Diseases and Nutrition, CHU Toulouse, University of Toulouse, Toulouse, France.ORCID http://orcid.org/0000-0002-8794-8990
Sylvie PicardEndocrinology and Diabetes, Point Medical, Dijon, France.ORCID http://orcid.org/0000-0003-0463-8063
Laura SabloneFrancophone Foundation for Diabetes Research, Paris, France.ORCID http://orcid.org/0000-0002-8026-7826
Bruno VergèsDepartment of Endocrinology-Diabetology, Inserm LNC UMR1231, University of Burgundy, Dijon, France.ORCID http://orcid.org/0000-0001-8957-629X
Naïma Hamamouchee-Health Services Sanoïa, Gémenos, France.ORCID http://orcid.org/0009-0008-3188-9814
Bruno DetournayCEMKA, Bourg-la-Reine, France.ORCID http://orcid.org/0000-0001-7843-4608
Michael JoubertService d'Endocrinologie-Diabétologie (Endocrinology/Diabetes Unit), Centre Hospitalier Universitaire de Caen, Caen, France.ORCID http://orcid.org/0000-0002-8731-7355
Brigitte DelemerEndocrinology, Diabetology and Nutrition Department, Robert Debré University Hospital, Reims, France.ORCID http://orcid.org/0000-0002-4320-2601
Isabelle GuilhemDepartment of Endocrinology, Diabetes and Nutrition, University Hospital of Rennes, Rennes, France.
Anne VambergueEndocrinology, Diabetology, Metabolism and Nutrition Department, Lille University Hospital, Lille, France.ORCID http://orcid.org/0000-0003-4307-8695
Pierre GourdyDepartment of Diabetology, Metabolic Diseases and Nutrition, CHU Toulouse, University of Toulouse, Toulouse, France.ORCID http://orcid.org/0000-0002-5362-3813
Samy HadjadjInstitut du thorax, INSERM, CNRS, Université Nantes, CHU Nantes, Nantes, France.ORCID http://orcid.org/0000-0001-7110-6994
Fritz-Line VelayoudomDepartment of Endocrinology-Diabetology, University Hospital of Guadeloupe, Pointe-À-Pitre, France.ORCID http://orcid.org/0000-0003-4623-3777
Bruno GuerciDepartment of Endocrinology, Diabetology, and Nutrition, Brabois Adult Hospital, University of Lorraine, Vandoeuvre-Lès-Nancy, France.ORCID http://orcid.org/0000-0002-6211-464X
Etienne LargerUniversity Paris Cité, Institut Cochin, U1016, Inserm, Paris, France.ORCID http://orcid.org/0000-0002-1017-1845
Nathalie JeandidierDepartment of Endocrinology, Diabetes and Nutrition, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.ORCID http://orcid.org/0000-0002-9730-5008
Jean-François GautierInstitut Necker Enfants Malades, Inserm U1151, CNRS UMR 8253, IMMEDIAB Laboratory, Paris, France.ORCID http://orcid.org/0000-0001-6458-2001
Eric RenardInstitute of Functional Genomics, University of Montpellier, CNRS, Inserm, Montpellier, France.ORCID http://orcid.org/0000-0002-3407-7263
Louis PotierInstitut Necker Enfants Malades, Inserm U1151, CNRS UMR 8253, IMMEDIAB Laboratory, Paris, France.ORCID http://orcid.org/0000-0001-6268-7360
Pierre-Yves BenhamouUniversité Grenoble Alpes, Inserm U1055, CHU Grenoble Alpes, Grenoble, France.ORCID http://orcid.org/0000-0003-4378-0468
Agnès SolaDiabetology Department, Cochin Hospital, AP-HP, Paris, France.ORCID http://orcid.org/0000-0002-1091-897X
Lyse BordierService d'Endocrinologie, Hôpital Bégin, Saint Mandé, France.ORCID http://orcid.org/0000-0002-9154-4841
Elise BismuthRobert-Debré University Hospital, Department of Paediatric Endocrinology and Diabetology, AP-HP, University of Paris, Paris, France.ORCID http://orcid.org/0000-0002-9503-9279
Gaëtan PrévostDepartment of Endocrinology, Diabetes and Metabolic Diseases, Normandie Université, UNIROUEN, Rouen University Hospital, Centre d'Investigation Clinique (CIC-CRB)-Inserm 1404, Rouen University Hospital, Rouen, France.ORCID http://orcid.org/0000-0001-9856-5859
Laurence KesslerDepartment of Endocrinology, Diabetes and Nutrition, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.ORCID http://orcid.org/0000-0002-1769-5625
Emmanuel CossonDepartment of Endocrinology-Diabetology-Nutrition, AP-HP, Avicenne Hospital, Paris 13 University, Sorbonne Paris Cité, CRNH-IdF, CINFO, Bobigny, France.ORCID http://orcid.org/0000-0002-8785-3385
Jean-Pierre RivelineInstitut Necker Enfants Malades, Inserm U1151, CNRS UMR 8253, IMMEDIAB Laboratory, Paris, France.ORCID http://orcid.org/0000-0001-7991-0741
SFDT1 study team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisOur study aims to uncover glycaemic phenotype heterogeneity in type 1 diabetes.

methodsIn the Study of the French-speaking Society of Type 1 Diabetes (SFDT1), we characterised glycaemic heterogeneity thanks to a set of complementary metrics: HbA

resultsWe included 618 participants with type 1 diabetes (52.9% men, mean age 40.6 years [SD 14.1]). Our phenotypic tree identified seven glycaemic phenotypes. The 2D phenotypic tree comprised a main branch in the proximal region and glycaemic phenotypes in the distal areas. Dimension 1, the horizontal dimension, was positively associated with GRI (coefficient [95% CI]) (0.54 [0.52, 0.57]), HbA CONCLUSIONS/

interpretationOur study advances the current understanding of the complex glycaemic profile in people with type 1 diabetes and suggests that strategies based on isolated glycaemic metrics might not capture the complexity of the glycaemic phenotypes in real life. Relying on these phenotypes could improve patient stratification in type 1 diabetes care and personalise disease management.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 1Glycated HemoglobinPhenotypeAdultAlgorithmsCluster AnalysisFemaleHumansMaleMiddle AgedBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanArtificial intelligenceCluster analysisContinuous glucose monitoringDiabetes complicationsGlycaemia risk indexGlycaemic controlGlycaemic phenotypeGlycaemic variabilityInsulin pumpsMachine learningType 1 diabetes

Identifiers

PMID38780786
PMCPMC11343912

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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.