Evidence map›Paper›PMID 14514648›Full record

Trial reportDiabetes2003

Relationship of family history of type 2 diabetes, hypoglycemia, and autoantibodies to weight gain and lipids with intensive and conventional therapy in the Diabetes Control and Complications Trial.

Jonathan Q Purnell, Raj K Dev, Michael W Steffes, Patricia A Cleary, Jerry P Palmer, Irl B Hirsch, John E Hokanson, John D Brunzell

Open access · bronzeAbstract readClinical TrialMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% of its field
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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Obesity in Adults with Type 1 Diabetes Mellitus.Journal of obesity & metabolic syndrome · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Observational
  15. Observational
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
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

8 authors at 5 institutions in 1 country.

Jonathan Q PurnellDivision of Endocrinology, Diabetes, and Clinical Nutrition, Oregon Health & Science University, Portland, Oregon 97201, USA. purnellj@ohsu.edu
Raj K Dev
Michael W Steffes
Patricia A Cleary
Jerry P Palmer
Irl B Hirsch
John E Hokanson
John D Brunzell
University of Washington · USGeorge Washington University · USOregon Health & Science University · USUniversity of Colorado Denver · USUniversity of Minnesota System · US

Funding

ZIPRASIDONE IN NORMAL HEPATIC FUNCTION SUBJECTS &IN HEPATIC DYSFUCTIN SUBJECTSM01RR000037 · NCRR · UNIVERSITY OF WASHINGTON · PI PARK, JULIE R · 1985 to 2007
$33.8M
PILOT STUDY--CLINICAL NUTRITION RESEARCHP30DK035816 · NIDDK · UNIVERSITY OF WASHINGTON · PI Ellen A Schur · 1986 to 2026
$30.4M
REVERSE CHOLESTEROL TRANSPORT IN DIABETESP01DK002456 · NIDDK · UNIVERSITY OF WASHINGTON · PI CHAIT, ALAN · 1986 to 2007
$10.2M
EPIDEMIOLOGY OF DIABETES INTERVENTIONS &COMPLICATIONSN01DK062204 · NIDDK · GEORGE WASHINGTON UNIVERSITY · 1996 to 2004
$2.1M
CORTISOL, CENTRAL OBESITY, AND INSULIN RESISTANCEK23DK002689 · NIDDK · OREGON HEALTH AND SCIENCE UNIVERSITY · PI PURNELL, JONATHAN Q. · 2000 to 2003
$523k
NCRR NIH HHS M01 RR000037NCRR NIH HHS M01 RR00037NIDDK NIH HHS DK02456NIDDK NIH HHS DK02689NIDDK NIH HHS DK35816NIDDK NIH HHS N01 DK062204NIDDK NIH HHS P01 DK002456NIDDK NIH HHS P30 DK035816
6 · The paper itself

Abstract

Intensive therapy for type 1 diabetes results in greater weight gain than conventional therapy. Many factors may predispose to this greater weight gain, including improved glycemic control, genetic susceptibility to obesity, and hypoglycemia. To study this, relationships among family history of type 2 diabetes, frequency of severe hypoglycemia, beta-cell autoantibodies, and weight gain were examined in 1,168 subjects aged > or =18 years at baseline randomized to intensive and conventional therapy groups in the Diabetes Control and Complications Trial. With intensive therapy, subjects with a family history of type 2 diabetes had greater central weight gain and dyslipidemia characterized by higher triglyceride levels and greater cholesterol in VLDLs and intermediate-density lipoproteins compared with subjects with no family history. Neither the frequency of severe hypoglycemia nor positivity to GAD65 and insulinoma-associated protein 2 antibodies was associated with increased weight gain with either intensive or conventional therapy. These data support the hypothesis that increased weight gain with intensive therapy might be explained, in part, by genetic traits.

Indexed as

Medical RecordsWeight GainAdolescentAdultAutoantibodiesDiabetes Mellitus, Type 2FemaleGlutamate DecarboxylaseHumansHypoglycemiaIsoenzymesLipidsMaleAutoantibodiesGlutamate Decarboxylaseglutamate decarboxylase 2ICA512 autoantibodyIsoenzymesLipids

Identifiers

PMID14514648
PMCPMC2632607
OpenAlexW1997101648

What Socratic holds

Textmetadata
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 Socratic graph.