Evidence map›Paper›PMID 39762110›Full record

ArticleBMJ open2025

Association between thyroid dysfunction and insulin resistance: a retrospective cohort study.

Hari Krishnamurthy, Chithra Suresh, Thushani Siriwardhane, Karthik Krishna, Qi Song, Vasanth Jayaraman, Tianhao Wang, Kang Bei, John J Rajasekaran

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

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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

9 authors.

Hari KrishnamurthyVibrant Sciences LLC, Santa Clara, California, USA hari@vibrantsci.com.
Chithra SureshBiological, Vibrant America, San Carlos, California, USA.ORCID 0000-0002-7832-8423
Thushani SiriwardhaneVibrant Sciences LLC, Santa Clara, California, USA.ORCID 0000-0001-9059-1059
Karthik KrishnaVibrant Sciences LLC, Santa Clara, California, USA.
Qi SongVibrant Sciences LLC, Santa Clara, California, USA.
Vasanth JayaramanVibrant Sciences LLC, Santa Clara, California, USA.
Tianhao WangVibrant Sciences LLC, Santa Clara, California, USA.
Kang BeiVibrant Sciences LLC, Santa Clara, California, USA.
John J RajasekaranVibrant Sciences LLC, Santa Clara, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the association between thyroid disease and diabetes markers.

designRetrospective cohort study.

settingThe study was conducted in a diagnostic setting where the primary care providers recommended the patients to test for thyroid and diabetes panels.

participantsThe thyroid and diabetes markers were tested in 32 787 subjects with suspected thyroid and related conditions who visited Vibrant America Clinical Laboratory between January 2015 and June 2019.

resultsOur general prevalence results showed that homeostatic model assessment-insulin resistance (HOMA-IR) was elevated in overt hypothyroid subjects (43.7%) and overt hyperthyroid subjects (42.2%). Glycated hemoglobin (HbA1C) was elevated in subclinical hypothyroid subjects (19.2%), overt hypothyroid subjects (22.3%) and overt hyperthyroid subjects (21.2%). Glucose was significantly elevated in subclinical hypothyroid subjects (24.2%) and overt hyperthyroid subjects (31.0%). Insulin was significantly elevated in overt hypothyroid subjects (15.1%). Interestingly, we found that 70.3% of subjects who had their HOMA-IR score escalated from negative (HOMA-IR<2.7) to positive (HOMA-IR>2.7) during their multiple visits had anti-thyroid peroxidase (anti-TPO) 369 (±242) days prior to the onset of this change.

conclusionOur findings showed that anti-TPO levels are elevated before the onset of insulin resistance, indicating its potential use as a predictive marker.

Indexed as

Glycated HemoglobinHypothyroidismInsulin ResistanceAdultAgedAutoantibodiesBiomarkersBlood GlucoseFemaleHumansHyperthyroidismInsulinIodide PeroxidaseMaleMiddle AgedRetrospective StudiesAutoantibodiesBiomarkersBlood GlucoseGlycated HemoglobinInsulinIodide PeroxidaseDIABETES & ENDOCRINOLOGYGeneral endocrinologyThyroid disease

Identifiers

PMID39762110
PMCPMC11749310

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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.