Evidence map›Paper›PMID 28569077›Full record

ArticleJournal of diabetes science and technology2018

Diabetes and Prediabetes Classification Using Glycemic Variability Indices From Continuous Glucose Monitoring Data.

Giada Acciaroli, Giovanni Sparacino, Liisa Hakaste, Andrea Facchinetti, Giorgio Maria Di Nunzio, Alessandro Palombit, Tiinamaija Tuomi, Rafael Gabriel, Jaime Aranda, Saturio Vega and 1 more

Abstract read
In one paragraph

Article in Journal of diabetes science and technology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Continuous Glucose Monitoring for Prediabetes: What Are the Best Metrics?Journal of diabetes science and technology · 2024
    Review
  9. Observational
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  15. Incidence of hyperglycaemic disorders in children and adolescents with obesity.Pediatric endocrinology, diabetes, and metabolism · 2022
    Article
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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

11 authors.

Giada Acciaroli1 Department of Information Engineering, University of Padova, Padova, Italy.
Giovanni Sparacino1 Department of Information Engineering, University of Padova, Padova, Italy.
Liisa Hakaste2 Endocrinology, Abdominal Centre, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Andrea Facchinetti1 Department of Information Engineering, University of Padova, Padova, Italy.
Giorgio Maria Di Nunzio1 Department of Information Engineering, University of Padova, Padova, Italy.
Alessandro Palombit1 Department of Information Engineering, University of Padova, Padova, Italy.
Tiinamaija Tuomi2 Endocrinology, Abdominal Centre, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Rafael Gabriel5 Escuela Nacional de Sanidad, Instituto de Salud Carlos III, Madrid, Spain.
Jaime Aranda6 Servicio de Endocrinologia Hospital General de Cuenca, Cuenca, Spain.
Saturio Vega7 Centro de Salud de Arevalo, Avila, Spain.
Claudio Cobelli1 Department of Information Engineering, University of Padova, Padova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTens of glycemic variability (GV) indices are available in the literature to characterize the dynamic properties of glucose concentration profiles from continuous glucose monitoring (CGM) sensors. However, how to exploit the plethora of GV indices for classifying subjects is still controversial. For instance, the basic problem of using GV indices to automatically determine if the subject is healthy rather than affected by impaired glucose tolerance (IGT) or type 2 diabetes (T2D), is still unaddressed. Here, we analyzed the feasibility of using CGM-based GV indices to distinguish healthy from IGT&T2D and IGT from T2D subjects by means of a machine-learning approach.

methodsThe data set consists of 102 subjects belonging to three different classes: 34 healthy, 39 IGT, and 29 T2D subjects. Each subject was monitored for a few days by a CGM sensor that produced a glucose profile from which we extracted 25 GV indices. We used a two-step binary logistic regression model to classify subjects. The first step distinguishes healthy subjects from IGT&T2D, the second step classifies subjects into either IGT or T2D.

resultsHealthy subjects are distinguished from subjects with diabetes (IGT&T2D) with 91.4% accuracy. Subjects are further subdivided into IGT or T2D classes with 79.5% accuracy. Globally, the classification into the three classes shows 86.6% accuracy.

conclusionsEven with a basic classification strategy, CGM-based GV indices show good accuracy in classifying healthy and subjects with diabetes. The classification into IGT or T2D seems, not surprisingly, more critical, but results encourage further investigation of the present research.

Indexed as

Blood GlucoseDatabases, FactualDiabetes Mellitus, Type 2Glucose IntoleranceHumansPrediabetic StateSensitivity and SpecificityBlood Glucoseclassificationcontinuous glucose monitoringglycemic variabilityimpaired glucose tolerancetype 2 diabetes

Identifiers

PMID28569077
PMCPMC5761967

What Socratic holds

Textmetadata
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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 Socratic graph.