Evidence map›Paper›PMID 41293549›Full record

ArticlePediatric diabetes2025

Acidosis at Diagnosis of Type 1 Diabetes Mellitus: Relation With Kidney Function.

Stefano Guarino, Dario Iafusco, Anna Di Sessa, Paola Tirelli, Giulio Rivetti, Giorgia Ippolito, Mario Bartiromo, Grazia Cirillo, Angela Zanfardino, Emanuele Miraglia Del Giudice and 1 more

Abstract read
In one paragraph

Article in Pediatric diabetes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Stefano GuarinoUOC di Pediatria Generale e Specialistica, Azienda Ospedaliera Universitaria Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Dario IafuscoDepartment of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Anna Di SessaUOC di Pediatria Generale e Specialistica, Azienda Ospedaliera Universitaria Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Paola TirelliDepartment of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0009-0008-3882-0940
Giulio RivettiDepartment of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Giorgia IppolitoUOC di Pediatria Generale e Specialistica, Azienda Ospedaliera Universitaria Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Mario BartiromoUOC di Pediatria Generale e Specialistica, Azienda Ospedaliera Universitaria Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Grazia CirilloDepartment of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Angela ZanfardinoUOC di Pediatria Generale e Specialistica, Azienda Ospedaliera Universitaria Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0003-0641-1321
Emanuele Miraglia Del GiudiceDepartment of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Pierluigi MarzuilloDepartment of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0003-4682-0170

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Acidosis at type 1 diabetes mellitus (T1DM) onset results from unregulated massive overproduction of ketoacids. However, renal tubular damage (RTD), a complication of T1DM onset, may impair bicarbonate reabsorption, exacerbating acidosis. We aimed to assess RTD role in acidosis at T1DM onset. Methods: RTD was defined by urinary β2-microglobulin > 0.33 mg/L and/or neutrophil gelatinase-associated lipocalin (NGAL) > 95 Results: Of 185 individuals, 111 (60%) were in Group 1, 18 (9.7%) in Group 2, 8 (4.3%) in Group 3, and 48 (26%) in Group 4. Group 1 had the most severe clinical and biochemical derangements, followed by Groups 2, 3, and 4. Logistic regression, adjusted for AKI, relative difference of weight loss and glycated hemoglobin (HbA1c), identified RTD (odds ratio [OR] = 22.3; 95% confidence interval [CI]: 6.9-71.5; Conclusions: A link exists between biological markers of RTD and metabolic acidosis at T1DM onset.

Indexed as

AcidosisAcute Kidney InjuryDiabetes Mellitus, Type 1Diabetic NephropathiesKidneyAdolescentAdultBicarbonatesChildChild, PreschoolDiabetic KetoacidosisFemaleHumansLipocalin-2MaleBicarbonatesLipocalin-2acidosisacute kidney injurybicarbonatesketonesproximal renal tubular dysfunctiontype 1 diabetes mellitus

Identifiers

PMID41293549
PMCPMC12643667

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.