Trial reportDiabetes research and clinical practice2017

The effects of GLP-1 based therapies on postprandial haemodynamics: Two randomised, placebo-controlled trials in overweight type 2 diabetes patients.

Mark M Smits, Lennart Tonneijck, Marcel H A Muskiet, Trynke Hoekstra, Mark H H Kramer, Michaela Diamant, Daniël H van Raalte

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Diabetes research and clinical practice, 2017. The graph read 2 numbers from its abstract, feeding 1 cell of the map: it favours the comparator in 1. Cited by 8 papers, 2 of them syntheses that pooled it.

2numbers the graph read from it
1cell of the map it votes in
8citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 11% 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.

← favours the treatmentfavours the comparator →
9290 · no effect
Vascular resistanceacute exenatide-infusion vs placebofavours the comparator · hypertension, t2dfeeds one cell of the map
Δ 684439 to 929
Compared with placebo, acute exenatide-infusion increased postprandial diastolic BP (6.7 [95%-confidence interval 3.6-9.9]mmHg, p<0.001) and vascular resistance (683.6 [438.5-928.8]dyn*s/cm CONCLUSIONS: Acute exenatide-infusion prevented the meal-induced decline in diastolic BP, although prolonged liraglutide intervention did not affect postprandial haemodynamics.
Postprandial diastolic BPacute exenatide-infusion vs placebofavours the comparator · hypertension, t2dfeeds one cell of the map
Δ 6.703.60 to 9.90<0.001
Compared with placebo, acute exenatide-infusion increased postprandial diastolic BP (6.7 [95%-confidence interval 3.6-9.9]mmHg, p<0.001) and vascular resistance (683.6 [438.5-928.8]dyn*s/cm CONCLUSIONS: Acute exenatide-infusion prevented the meal-induced decline in diastolic BP, although prolonged liraglutide intervention did not affect postprandial haemodynamics.

clause the extractor read what became the number

2 · Its place on the map

Where it lands on the map

Rows are treatments, columns are outcomes. The coloured squares are the cells this paper feeds, coloured by the vote it casts there. Click one to jump to what this paper adds to it.

supports the treatmentfavours the comparatorno clear differenceread, but no usable result
3 · What it changes

What it adds to each cell

For every cell the paper feeds: the belief in the claim with and without this paper, and this paper's estimate drawn against every other readable study in the cell. The ringed dot is this paper.

GLP-1 receptor agonists×blood pressure

ContradictsOpen on the map →What to test next →

10 readable studies in this cell: 4 favour the treatment, 5 find no difference, 1 favour the comparator.

Belief with this paper
0.50contested · 3 families support, 1 contradict · against placebo
Without it
0.92This paper moves it by −0.42. It would be replicated.
← favours the treatmentfavours the comparator →
0 · no effect
This paper · 2017
Δ 684439 to 929
NCT00676338820 enrolled · 2008
Δ 0.36-1.02 to 1.73
NCT00781937422 enrolled · 2008
Treatment Contrast -2.72-4.69 to -0.76
NCT02492763176 enrolled · 2015
Δ -1.10-6.20 to 4.10
change -0.90-1.60 to -0.10
NCT04019197108 enrolled · 2019
β coefficient -0.05-0.10 to -0.01
NCT0488111060 enrolled · 2021
Δ -0.00-5.80 to 5.80
4 · 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.

5 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Review
  8. Review
6 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

7 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Mark M SmitsDiabetes Center, Department of Internal Medicine, VU University Medical Center, Amsterdam, Netherlands. Electronic address: mm.smits1@vumc.nl.
Lennart TonneijckDiabetes Center, Department of Internal Medicine, VU University Medical Center, Amsterdam, Netherlands.
Marcel H A MuskietDiabetes Center, Department of Internal Medicine, VU University Medical Center, Amsterdam, Netherlands.
Trynke HoekstraDepartment of Health Sciences and the EMGO Institute for Health and Care Research, VU University Amsterdam, Amsterdam, Netherlands; Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, Netherlands.
Mark H H KramerDiabetes Center, Department of Internal Medicine, VU University Medical Center, Amsterdam, Netherlands.
Michaela DiamantDiabetes Center, Department of Internal Medicine, VU University Medical Center, Amsterdam, Netherlands.
Daniël H van RaalteDiabetes Center, Department of Internal Medicine, VU University Medical Center, Amsterdam, Netherlands.
Amsterdam UMC Location VUmc · NLEMGO Institute for Health and Care Research · NL

Funding

No grant is acknowledged in the PubMed record.

8 · The paper itself

Abstract

The marked sentences are the ones the graph read a number from.

aimsTo assess the effects of glucagon-like peptide (GLP)-1 receptor agonists and dipeptidyl peptidase (DPP)-4 inhibitors on postprandial haemodynamics.

methods57 patients with type 2 diabetes (mean±SD age 62.8±6.9years; BMI 31.8±4.1kg/m

resultsIn both studies, postprandial blood pressure (BP) decreased during placebo-intervention. Compared with placebo, acute exenatide-infusion increased postprandial diastolic BP (6.7 [95%-confidence interval 3.6-9.9]mmHg, p<0.001) and vascular resistance (683.6 [438.5-928.8]dyn*s/cm

conclusionsAcute exenatide-infusion prevented the meal-induced decline in diastolic BP, although prolonged liraglutide intervention did not affect postprandial haemodynamics. The meal-induced drop in BP was augmented during sitagliptin-treatment.

Indexed as

AdultAgedBlood PressureDiabetes Mellitus, Type 2Dipeptidyl-Peptidase IV InhibitorsDouble-Blind MethodExenatideFastingFemaleGlucagon-Like Peptide 1Heart RateHemodynamicsHumansHypoglycemic AgentsLiraglutideMaleDipeptidyl-Peptidase IV InhibitorsExenatideGlucagon-Like Peptide 1Hypoglycemic AgentsLiraglutidePeptidesPlacebosSitagliptin PhosphateVenomsExenatideGLP-1 receptor agonistHaemodynamicsHeart rateLiraglutideSympathetic nervous system

Identifiers

PMID28086201
OpenAlexW2563017273

What Socratic holds

Texttitle and abstract
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.