Evidence map›Paper›PMID 30112786›Full record

ArticleJournal of veterinary internal medicine2018

Effect of insulin treatment on circulating insulin-like growth factor I and IGF-binding proteins in cats with diabetes mellitus.

Emma M Strage, Mårten Sundberg, Bodil S Holst, Mikael Andersson Franko, Margareta Ramström, Tove Fall, Moira Lewitt

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Hypersomatotropism in diabetic cats in Australia.Journal of feline medicine and surgery · 2025
    Article
  2. Article
  3. Feline Comorbidities: Hypersomatotropism-induced diabetes in cats.Journal of feline medicine and surgery · 2024
    Review
  4. Article
  5. Article
  6. 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

7 authors at 3 institutions in 2 countries.

Emma M StrageDepartment of Clinical Sciences, University Animal Hospital, Swedish University of Agricultural Sciences, Uppsala, Sweden.ORCID http://orcid.org/0000-0003-4731-2960
Mårten SundbergDepartment of Chemistry- BMC and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
Bodil S HolstDepartment of Clinical Sciences, University Animal Hospital, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Mikael Andersson FrankoDepartment of Economics, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Margareta RamströmDepartment of Chemistry- BMC and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
Tove FallDepartment of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
Moira LewittSchool of Health Nursing and Midwifery, University of the West of Scotland, Paisley, United Kingdom.
Swedish University of Agricultural Sciences · SEUppsala University · SEUniversity of the West of Scotland · GB

Funding

Agria and the Swedish Kennel Club FoundationGöran Gustafsson foundationMichael Forsgren FoundationSwedish Research Council 2015-03477
6 · The paper itself

Abstract

backgroundInsulin-like growth factor-I (IGF-I) is used to screen for acromegaly in diabetic cats. In humans, most circulating IGF-I forms ternary complexes (TC) with IGF-binding protein (IGFBP-3) and an acid-labile subunit. Compared to humans, the amount of TC in cats is more variable. Insulin-like growth factor-I concentrations are reported to increase during insulin treatment, more rapidly in cats achieving remission.

objectivesTo investigate (i) factors associated with circulating IGF-I concentrations, including IGFBP-profiles (ii) effect of insulin treatment on IGF-I concentrations and (iii) IGF-I as prognostic marker of diabetes mellitus remission. ANIMALS: Thirty-one privately owned diabetic cats of which 24 were followed 1 year, and 13 healthy cats.

methodsProspective study. Serum insulin, IGF-I, glucose, and fructosamine concentrations were measured. IGF-binding forms were determined by chromatography in 14 diabetic and 13 healthy cats; and IGF-I, IGF-II, IGFBP-3, and IGFBP-5 by mass spectrometry in 3 cats achieving remission.

resultsInsulin-like growth factor-I median (interquartile range) before start of insulin treatment was 300 (160-556) ng/mL. Insulin-like growth factor-I was positively associated with TC (P < .0001) and endogenous insulin (P = .005) and negatively associated with fructosamine (P < .0001). Median IGF-I was higher 2-4 weeks after start of insulin treatment compared with baseline (300 versus 670 ng/mL, P = .0001) and predicted future remission (P = .046). In cats that went into remission, the amount of TC and IGFBP-3 increased, suggesting increase in IGF-I is dependent on TC formation.

conclusionsInsulin treatment should be accounted for when interpreting IGF-I in diabetic cats. Insulin-like growth factor-I 2-4 weeks after initiation of insulin treatment shows promise as prognostic marker for remission in diabetic cats.

Indexed as

AnimalsCat DiseasesCatsDiabetes MellitusFemaleInsulin-Like Growth Factor Binding ProteinsInsulin-Like Growth Factor IMaleInsulin-Like Growth Factor Binding ProteinsInsulin-Like Growth Factor IIGFBP-3IGF-IIinsulinternary complex

Identifiers

PMID30112786
PMCPMC6189377
OpenAlexW2884055717

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.