Evidence mapPaperPMID 30371795Full record

ArticleThe Journal of clinical endocrinology and metabolism2019

Glucose-Mediated Glucose Disposal at Baseline Insulin Is Impaired in IFG.

Mariam Alatrach, Christina Agyin, Rucha Mehta, John Adams, Ralph A DeFronzo, Muhammad Abdul-Ghani

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2019. 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
1.3field-weighted citation impact, top 18% 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, 19 citations in OpenAlex.

  1. Effect of obstructive sleep apnea on glucose metabolism.European journal of endocrinology · 2022
    Trial
  2. Article
  3. Review
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  5. 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

6 authors at 1 institution in 1 country.

Mariam AlatrachDiabetes Division, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Christina AgyinDiabetes Division, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Rucha MehtaDiabetes Division, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
John AdamsDiabetes Division, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Ralph A DeFronzoDiabetes Division, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Muhammad Abdul-GhaniDiabetes Division, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
The University of Texas Health Science Center at San Antonio · US

Funding

SGLT2 Inhibitors, Ketogenesis, and KetoacidosisR01DK024092 · NIDDK · YALE UNIVERSITY · 1986 to 2025
$3.6M
Comparative Effectiveness of Two Initial Combination Therapies in Patients with New Onset DiabetesR01DK097554 · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · 2025 to 2025
$685k
Ketones, Muscle Metabolism, and SGLT2 InhibitorsR01DK107680 · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · 2025 to 2025
$583k
NIDDK NIH HHS R01 DK024092NIDDK NIH HHS R01 DK097554NIDDK NIH HHS R01 DK107680
6 · The paper itself

Abstract

Objective: To quantify glucose-mediated glucose disposal with and without basal insulin replacement and insulin-mediated glucose disposal in subjects with impaired fasting glucose (IFG). Research Design and Methods: We used the hyperglycemic/pancreatic clamp and stepped euglycemic clamp techniques to quantify glucose disposal and suppression of endogenous glucose production (EGP) in those with normal glucose tolerance (NGT; n = 14) and those with IFG (n = 14). Results: Total body glucose-mediated glucose uptake, measured with the hyperglycemic/pancreatic clamp, was not significantly affected by the basal plasma insulin levels in subjects with IFG and those with NGT. Compared with subjects with NGT, those with IFG had significantly lower glucose-mediated glucose uptake (by 15%) during the hyperglycemic clamp performed with and without basal insulin replacement. In contrast, insulin-mediated glucose disposal was comparable in both groups. The suppression of EGP by hyperglycemia was similar in both groups. However, the suppression of EGP by insulin was attenuated in those with IFG compared with those with NGT. Conclusions: The results of the present study have demonstrated that (i) glucose-mediated glucose disposal is impaired in those with IFG; (ii) insulin-mediated glucose uptake in IFG is normal; and (iii) insulin action to suppress EGP is impaired.

Indexed as

AdultBlood GlucoseFastingFemaleGlucoseGlucose Clamp TechniqueGlucose IntoleranceGlucose Tolerance TestHumansHyperglycemiaHypoglycemic AgentsInsulinInsulin ResistanceMalePrediabetic StateBlood GlucoseGlucoseHypoglycemic AgentsInsulin

Identifiers

PMID30371795
PMCPMC6286408
OpenAlexW2898462909

What Socratic holds

Textmetadata
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.