Evidence map›Paper›PMID 40745404›Full record

ArticleNature medicine2025

Multimodal AI correlates of glucose spikes in people with normal glucose regulation, pre-diabetes and type 2 diabetes.

Mattia Carletti, Jay Pandit, Matteo Gadaleta, Danielle Chiang, Felipe Delgado, Katie Quartuccio, Brianna Fernandez, Juan Antonio Raygoza Garay, Ali Torkamani, Riccardo Miotto and 8 more

Abstract read
In one paragraph

Article in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Artificial intelligence virtual bone organoids (AIVBOs).Journal of orthopaedic translation · 2026
    Review
  5. Human-Centered Innovation: Precision Nutrition and the Future of Food.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  6. Article
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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

18 authors.

Mattia CarlettiScripps Research Translational Institute, La Jolla, CA, USA.
Jay PanditScripps Research Translational Institute, La Jolla, CA, USA.ORCID http://orcid.org/0000-0003-0119-0881
Matteo GadaletaScripps Research Translational Institute, La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-6470-6537
Danielle ChiangScripps Research Translational Institute, La Jolla, CA, USA.ORCID http://orcid.org/0000-0003-0919-9303
Felipe DelgadoScripps Research Translational Institute, La Jolla, CA, USA.ORCID http://orcid.org/0009-0006-6042-187X
Katie QuartuccioScripps Research Translational Institute, La Jolla, CA, USA.
Brianna FernandezScripps Research Translational Institute, La Jolla, CA, USA.
Juan Antonio Raygoza GarayScripps Research Translational Institute, La Jolla, CA, USA.
Ali TorkamaniScripps Research Translational Institute, La Jolla, CA, USA.ORCID http://orcid.org/0000-0003-0232-8053
Riccardo MiottoTempus AI, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-7815-6000
Hagai RossmanPheno.AI, Tel-Aviv, Israel.
Benjamin BerkCareEvolution, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0003-4828-6020
Katie Baca-MotesScripps Research Translational Institute, La Jolla, CA, USA.
Vik KheterpalCareEvolution, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0002-4752-4229
Eran SegalWeizmann Institute, Rehovot, Israel.ORCID http://orcid.org/0000-0002-6859-1164
Eric J TopolScripps Research Translational Institute, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-1478-4729
Edward RamosScripps Research Translational Institute, La Jolla, CA, USA. eramos@scripps.edu.ORCID http://orcid.org/0000-0003-1675-7094
Giorgio QuerScripps Research Translational Institute, La Jolla, CA, USA. gquer@scripps.edu.ORCID http://orcid.org/0000-0003-2208-7912

Funding

Scripps Clinical and Translational Science HubUM1TR004407 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI Eric Jeffrey Topol · 2023 to 2026
$24.2M
NCATS NIH HHS UM1 TR004407U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS) UM1TR004407
6 · The paper itself

Abstract

Type 2 diabetes (T2D) is a multifaceted disease associated with several factors, including diet, genetics, exercise, sleep and gut microbiome. Current diagnostic and monitoring methods based on episodic assays like glycated hemoglobin (HbA1c) fail to capture its full complexity. Here, in a prospective cohort of 1,137 participants in the United States, we analyzed multimodal data from 347 deeply phenotyped individuals (174 normoglycemic, 79 prediabetic and 94 T2D). We found significant differences in the distribution of glucose spike metrics among different diabetes states, with longer expected time for spike resolution and higher values of nocturnal hypoglycemia in T2D. We identified significant correlations between mean glucose level and gut microbiome diversity, and between expected time for spike resolution and resting heart rate. Our multimodal glycemic risk profiles, validated in 1,955 normoglycemic and 114 prediabetic individuals from an independent cohort, improved risk stratification by highlighting substantial variability among individuals with the same value of HbA1c. Such a multimodal approach provides a detailed phenotype that can potentially improve T2D prevention, diagnosis and treatment, and is more informative than HbA1c.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 2Prediabetic StateAdultAgedFemaleGastrointestinal MicrobiomeGlycated HemoglobinHumansHypoglycemiaMaleMiddle AgedProspective StudiesBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID40745404
PMCPMC12443610

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.