Evidence mapPaperPMID 29386249Full record

ArticleDiabetes care2018

Precision Medicine in Type 2 Diabetes: Clinical Markers of Insulin Resistance Are Associated With Altered Short- and Long-term Glycemic Response to DPP-4 Inhibitor Therapy.

John M Dennis, Beverley M Shields, Anita V Hill, Bridget A Knight, Timothy J McDonald, Lauren R Rodgers, Michael N Weedon, William E Henley, Naveed Sattar, Rury R Holman and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Diabetes care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01503112 (Does Urinary C-peptide Creatinine Ratio Predict Response to Incretin Based Agents in Type 2 Diabetes), which is not on this map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% 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.

NCT01503112 completednot on this map

Does Urinary C-peptide Creatinine Ratio Predict Response to Incretin Based Agents in Type 2 Diabetes

TypeobservationalSponsorRoyal Devon and Exeter NHS Foundation TrustRan2011 to 2014Enrolled957ConditionsType2 DiabetesArmsNo intervention, observational study
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

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  18. Exploring the potential role of C-peptide in type 2 diabetes management.Diabetic medicine : a journal of the British Diabetic Association · 2025
    Review
  19. Reduced Weight Gain with Pioglitazone vs Vildagliptin inDiabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

John M DennisHealth Statistics Group, University of Exeter Medical School, Exeter, U.K.
Beverley M ShieldsNational Institute for Health Research Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, U.K.ORCID 0000-0003-3785-327X
Anita V HillNational Institute for Health Research Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, U.K.
Bridget A KnightNational Institute for Health Research Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, U.K.
Timothy J McDonaldNational Institute for Health Research Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, U.K.ORCID 0000-0003-3559-6660
Lauren R RodgersHealth Statistics Group, University of Exeter Medical School, Exeter, U.K.
Michael N WeedonInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, U.K.
William E HenleyHealth Statistics Group, University of Exeter Medical School, Exeter, U.K.
Naveed SattarInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, U.K.ORCID 0000-0002-1604-2593
Rury R HolmanDiabetes Trials Unit, Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, U.K.
Ewan R PearsonDivision of Molecular & Clinical Medicine, Ninewells Hospital and Medical School, University of Dundee, Dundee, U.K.
Andrew T HattersleyNational Institute for Health Research Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, U.K.ORCID 0000-0001-5620-473X
Angus G JonesNational Institute for Health Research Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, U.K. angus.jones@exeter.ac.uk.ORCID 0000-0002-0883-7599
MASTERMIND Consortium
NIHR Exeter Clinical Research Facility · GBUniversity of Exeter · GBNinewells Hospital · GBRoyal Devon and Exeter Hospital · GBUniversity of Glasgow · GBUniversity of Oxford · GB

Funding

Department of Health DRF-2010-03-72Department of Health RDECRF-2012-1Medical Research Council MR/K005707/1Medical Research Council MR/N00633X/1Wellcome Trust 098395
6 · The paper itself

Abstract

objectiveA precision approach to type 2 diabetes therapy would aim to target treatment according to patient characteristics. We examined if measures of insulin resistance and secretion were associated with glycemic response to dipeptidyl peptidase 4 (DPP-4) inhibitor therapy. RESEARCH DESIGN AND

methodsWe evaluated whether markers of insulin resistance and insulin secretion were associated with 6-month glycemic response in a prospective study of noninsulin-treated participants starting DPP-4 inhibitor therapy (Predicting Response to Incretin Based Agents [PRIBA] study;

resultsIn PRIBA, markers of higher insulin resistance (higher fasting C-peptide [

conclusionsMarkers of higher insulin resistance are consistently associated with reduced glycemic response to DPP-4 inhibitors. This finding provides a starting point for the application of a precision diabetes approach to DPP-4 inhibitor therapy.

Indexed as

BiomarkersInsulin ResistanceAgedBlood GlucoseDiabetes Mellitus, Type 2Dipeptidyl-Peptidase IV InhibitorsFemaleHumansHypoglycemic AgentsMaleMiddle AgedPrecision MedicinePredictive Value of TestsPrimary Health CarePrognosisRetrospective StudiesBiomarkersBlood GlucoseDipeptidyl-Peptidase IV InhibitorsHypoglycemic Agents

Identifiers

PMID29386249
PMCPMC6591121
OpenAlexW2783977038

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.