Evidence map›Paper›PMID 25360521›Full record

ArticlePloS one2014

Fluctuation between fasting and 2-H postload glucose state is associated with glomerular hyperfiltration in newly diagnosed diabetes patients with HbA1c < 7%.

Xinguo Hou, Chuan Wang, Shaoyuan Wang, Weifang Yang, Zeqiang Ma, Yulian Wang, Chengqiao Li, Mei Li, Xiuping Zhang, Xiangmin Zhao and 16 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Glucose variability, HbA1c and microvascular complications.Reviews in endocrine & metabolic disorders · 2016
    Review
  7. 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

26 authors at 6 institutions in 1 country.

Xinguo HouDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Chuan WangDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Shaoyuan WangLukang Hospital of Jining, Jining, Shandong, China.
Weifang YangLukang Hospital of Jining, Jining, Shandong, China.
Zeqiang MaChina National Heavy Duty Truck Group Corporation Hospital, Jinan, Shandong, China.
Yulian WangDepartment of Endocrinology, Second People's Hospital of Jining, Jining, Shandong, China.
Chengqiao LiDepartment of Endocrinology, Second People's Hospital of Jining, Jining, Shandong, China.
Mei LiDepartment of Endocrinology, Second People's Hospital of Jining, Jining, Shandong, China.
Xiuping ZhangShantui Community Health Center, Jining, Shandong, China.
Xiangmin ZhaoShantui Community Health Center, Jining, Shandong, China.
Yu SunDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Jun SongDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Peng LinDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Kai LiangDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Lei GongDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Meijian WangDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Fuqiang LiuDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Wenjuan LiDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Fei YanDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Junpeng YangDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Lingshu WangDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Meng TianDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Jidong LiuDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Ruxing ZhaoDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Shihong ChenDepartment of Endocrinology, the Second Hospital of Shandong University, Jinan, Shandong, China.
Li ChenDepartment of Endocrinology of Qilu Hospital, Shandong University, Jinan, Shandong, China.
Qilu Hospital of Shandong University · CNShantui (China) · CNXian Yang Central Hospital · CNChina National Heavy Duty Truck Group (China) · CNJining First People's Hospital · CNSecond Hospital of Shandong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether fluctuations between the fasting and 2-h postload glucose ([2-hPBG]-fasting blood glucose [FBG]) states are associated with glomerular hyperfiltration (GHF) in middle-aged and elderly Chinese patients with newly diagnosed diabetes. DESIGN AND

methodsIn this study, we included 679 newly diagnosed diabetes patients who were ≥ 40 years old. All the subjects were divided into two groups; those with HbA1c<7% and ≥ 7%. The Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation was used to estimate the glomerular filtration rate (GFR). GHF was defined as an eGFR ≥ the 90th percentile. First, a multiple linear regression analysis was used to estimate the association of 2-hPBG-FBG with eGFR. Then, a generalized additive model was used to explore the possible nonlinear relationship between 2-hPBG-FBG and eGFR. Next, the 2-hPBG-FBG values were divided into four groups as follows: 0-36, 36-72, 72-108 and ≥ 108 mg/dl. Finally, a multiple logistic regression analysis was used to investigate the association of 2-hPBG-FBG with the risk of GHF.

resultsFor the group with HbA1c<7%, the eGFR and the percentage of GHF were significantly higher compared with the group with HbA1c ≥ 7%. After adjusting for age, gender, body mass index (BMI), systolic blood pressure (BP), diastolic BP, fasting insulin, cholesterol, triglycerides, smoking, drinking and glycated hemoglobin (HbA1c), 2-hPBG-FBG was significantly associated with increased eGFR and an increased risk of GHF (the GHF risk increased by 64.9% for every 36.0 mg/dl [2.0 mmol/L] 2-hPBG-FBG increase) only in those patients with HbA1c<7%. Additionally, 2-hPBG-FBG and eGFR showed a nonlinear association (P<0.001).

conclusionsIncreased fluctuations between the fasting and 2-h postload glucose states are closely associated with increased eGFR and an increased risk of GHF in newly diagnosed diabetes patients with HbA1c<7%.

Indexed as

FastingGlomerular Filtration RateAdultAgedBlood GlucoseDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHumansMaleMiddle AgedBlood GlucoseGlycated Hemoglobin

Identifiers

PMID25360521
PMCPMC4216006
OpenAlexW2043696418

What Socratic 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 Socratic graph.