Evidence map›Paper›PMID 39915806›Full record

Observational studyCardiovascular diabetology2025

Associations of carbohydrate quality and cardiovascular risk factors vary among diabetes subtypes.

Katharina S Weber, Sabrina Schlesinger, Janina Goletzke, Klaus Straßburger, Oana-Patricia Zaharia, Sandra Trenkamp, Robert Wagner, Wolfgang Lieb, Anette E Buyken, Michael Roden and 2 more

Registry-linked trialAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Cardiovascular diabetology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01055093 (Prospective Study on Diabetes Mellitus and Its Complications in Newly Diagnosed Adult Patients), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT01055093 recruitingnot on this map

Prospective Study on Diabetes Mellitus and Its Complications in Newly Diagnosed Adult Patients

TypeobservationalSponsorGerman Diabetes CenterRan2005 to 2040Enrolled2,000ConditionsDiabetes Mellitus, Type 1, Diabetes Mellitus, Type 2
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Acute Effects ofFoods (Basel, Switzerland) · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Observational
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

12 authors.

Katharina S WeberInstitute of Epidemiology, Kiel University, Niemannsweg 11, 24105, Kiel, Germany. Katharina.Weber@epi.uni-kiel.de.
Sabrina SchlesingerInstitute for Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Janina GoletzkeFaculty of Natural Sciences, Institute of Nutrition, Consumption and Health, Paderborn University, Paderborn, Germany.
Klaus StraßburgerInstitute for Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Oana-Patricia ZahariaGerman Center for Diabetes Research (DZD), Partner Düsseldorf, Munich-Neuherberg, Germany.
Sandra TrenkampGerman Center for Diabetes Research (DZD), Partner Düsseldorf, Munich-Neuherberg, Germany.
Robert WagnerGerman Center for Diabetes Research (DZD), Partner Düsseldorf, Munich-Neuherberg, Germany.
Wolfgang LiebInstitute of Epidemiology, Kiel University, Niemannsweg 11, 24105, Kiel, Germany.
Anette E BuykenFaculty of Natural Sciences, Institute of Nutrition, Consumption and Health, Paderborn University, Paderborn, Germany.
Michael Roden *German Center for Diabetes Research (DZD), Partner Düsseldorf, Munich-Neuherberg, Germany.
Christian Herder *German Center for Diabetes Research (DZD), Partner Düsseldorf, Munich-Neuherberg, Germany.
GDS group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssess the intake of carbohydrate quality and their association with cardiovascular risk factors among diabetes subtypes.

methodsParticipants of the German Diabetes Study (GDS) (recent-onset diabetes (n = 487) and 5-years thereafter (n = 209)) were allocated into severe autoimmune diabetes (SAID, 35%), severe insulin-deficient diabetes (SIDD, 3%), severe insulin-resistant diabetes (SIRD, 5%), mild obesity-related diabetes (MOD, 28%), and mild age-related diabetes (MARD, 29%). Dietary glycemic index (GI), glycemic load (GL), and intake of higher- (≥ 55) and low-GI (< 55) foods, dietary fiber, and total sugar were derived from a validated food frequency questionnaire and cross-sectionally associated with cardiovascular risk factors (blood lipids, subclinical inflammation, blood pressure, fatty liver index) using multivariable linear regression analysis for subtypes with prevalences ≥ 10%.

resultsIntake of carbohydrate quality parameters was broadly comparable between the subtypes. Among SAID higher total sugar intake was associated with lower HDL-cholesterol (ß (95% CI) relative change per 1 SD increment: - 3.4% (- 6.7; - 0.1)). No clear associations were seen among MOD. Among MARD, a higher dietary GL and higher-GI carbohydrate intake were associated with higher serum triglycerides (10.9% (2.4; 20.1), 12.4% (3.9; 21.5)) and fatty liver index (absolute change: 0.18 (0.06; 0.31), 0.17 (0.05; 0.28)) and lower HDL-cholesterol (- 4.1% (- 7.6; - 0.4), - 4.4% (- 7.8; - 0.8)), whilst higher intake of low-GI carbohydrates and dietary fiber were associated with lower high-sensitivity C-reactive protein (- 16.0% (- 25.7; - 5.1), - 13.9% (- 24.2; - 2.2)).

conclusionsAssociations of carbohydrate quality parameters with blood lipids, subclinical inflammation, and fatty liver index differed between diabetes subtypes. However, evidence is too preliminary to derive subtype-specific recommendations.

trial registrationClinicaltrials.gov: NCT01055093.

Indexed as

Cardiovascular DiseasesDiabetes MellitusDietary CarbohydratesAdultAgedBiomarkersBlood GlucoseCross-Sectional StudiesFemaleGermanyGlycemic IndexGlycemic LoadHeart Disease Risk FactorsHumansMaleMiddle AgedBiomarkersBlood GlucoseDietary CarbohydratesDiabetes clustersDiabetes-related complicationsGlycemic indexGlycemic load

Identifiers

PMID39915806
PMCPMC11804081

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Registered trials

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.