Evidence map›Paper›PMID 40751096›Full record

ArticleDiabetologia2025

Non-autoimmune diabetes in young people from Assam, India: the PHENOEINDY-2 study.

Anupam Dutta, Pranjal K Dutta, Sreemanta M Baruah, Prasanta Dihingia, Arpita Ray, Dattatrey S Bhat, Sonali W Patki, Pradeep Tiwari, Madhura Deshmukh, Rucha Wagh and 4 more

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Article in Diabetologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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

14 authors.

Anupam DuttaDepartment of Medicine, Assam Medical College and Hospital, Dibrugarh, India.ORCID http://orcid.org/0000-0002-6074-7013
Pranjal K DuttaDepartment of Medicine, Assam Medical College and Hospital, Dibrugarh, India.ORCID http://orcid.org/0009-0009-0570-1731
Sreemanta M BaruahDepartment of Medicine, Assam Medical College and Hospital, Dibrugarh, India.ORCID http://orcid.org/0000-0003-4038-3272
Prasanta DihingiaDepartment of Medicine, Assam Medical College and Hospital, Dibrugarh, India.ORCID http://orcid.org/0009-0009-8104-2328
Arpita RayDepartment of Medicine, Assam Medical College and Hospital, Dibrugarh, India.ORCID http://orcid.org/0000-0001-7672-4804
Dattatrey S BhatDiabetes Unit, Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital and Research Centre, Pune, India.
Sonali W PatkiDiabetes Unit, Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital and Research Centre, Pune, India.
Pradeep TiwariHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Madhura DeshmukhDr D.Y. Patil Medical College, Hospital and Research Centre, Dr D.Y. Patil Vidyapeeth, Pune, India.
Rucha WaghDiabetes Unit, Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital and Research Centre, Pune, India.ORCID http://orcid.org/0000-0002-4911-731X
Rubina MulchandaniIndian Institute of Public Health Delhi, Public Health Foundation of India, Gurgaon, India.ORCID http://orcid.org/0000-0001-7330-9285
Tanica LyngdohDivision of Reproductive, Child Health and Nutrition (RCN), Indian Council of Medical Research, New Delhi, India.ORCID http://orcid.org/0000-0003-3310-4060
Sanjeeb KakatiDepartment of Medicine, Assam Medical College and Hospital, Dibrugarh, India. drsanjeeb_kakati@yahoo.co.in.ORCID http://orcid.org/0000-0003-4087-6042
Chittaranjan S YajnikDiabetes Unit, Kamalnayan Bajaj Diabetology Research Centre, King Edward Memorial Hospital and Research Centre, Pune, India. csyajnik@gmail.com.ORCID http://orcid.org/0000-0002-2911-2378

Funding

Indian Council of Medical Research 55/3/1/Brain Storming Session/Diab./2017-NCD-II
6 · The paper itself

Abstract

aims/hypothesisIn the Western world, non-autoimmune diabetes in the young is believed to be driven by overweight/obesity and insulin resistance. However, it is increasingly being reported in undernourished people in low- and middle-income countries, including India. We hypothesised that these patients would show markers of chronic undernutrition and a 'thin-fat' phenotype and be predominantly beta cell-deficient.

methodsWe studied young patients (clinically diagnosed with type 2 diabetes at <40 years) who attended the outpatient department of Assam Medical College and Hospital, Dibrugarh (in North-East India). We measured weight, height, waist and hip circumference, haemoglobin, fasting glucose, HbA

resultsThe study included 252 control participants (136 male participants, median age 30 years, BMI 23.0 kg/m CONCLUSIONS/

interpretationDiabetes in the young people of this impoverished population is heterogeneous, but the majority of patients are not overweight/obese or insulin-resistant. Overall, these participants conform to the thin-fat phenotype, and their diabetes is predominantly driven by beta cell deficiency. The sociodemographic history and physical characteristics of this population suggest a role for multigenerational undernutrition in the aetiology of non-autoimmune diabetes in these young patients from Assam.

Indexed as

Diabetes Mellitus, Type 2AdolescentAdultBlood GlucoseBody CompositionBody Mass IndexFemaleGlycated HemoglobinHumansIndiaInsulin ResistanceMaleObesityYoung AdultBlood GlucoseGlycated HemoglobinAdiposityAssamBeta cell deficiencyBody roundness indexIndiaLeanTruncal adiposityYoung-onset diabetes

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Registered trials

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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.