Evidence map›Paper›PMID 30515677›Full record

Observational studyEndocrine2019

Glycemic variation in uncontrolled Graves' disease patients with normal glucose metabolism: Assessment by continuous glucose monitoring.

Gu Gao, Feng-Fei Li, Yun Hu, Reng-Na Yan, Bing-Li Liu, Xiao-Mei Liu, Xiao-Fei Su, Jian-Hua Ma, Gang Hu

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Endocrine, 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
0.4field-weighted citation impact, top 29% 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, 10 citations in OpenAlex.

  1. Review
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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

9 authors at 1 institution in 1 country.

Gu GaoDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Feng-Fei LiDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Yun HuDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Reng-Na YanDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Bing-Li LiuDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Xiao-Mei LiuDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Xiao-Fei SuDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Jian-Hua MaDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. majianhua196503@126.com.
Gang HuJiangsu Key Laboratory of Neurodegeneration, Department of Pharmacology, Nanjing Medical University, Nanjing, China. ghu@njmu.edu.cn.
Nanjing Medical University · CN

Funding

the National Natural Science Foundation of China No. 81500606
6 · The paper itself

Abstract

purposeTo observe the glycemic variation (GV) in uncontrolled Graves' disease (GD) patients with normal glucose metabolism measured by continuous glucose monitoring (CGM).

methodsThis was a single-center, open-label, observational study. From January 2017 to October 2017, 20 GD patients with normal glucose metabolism and 24 healthy control subjects were recruited. Serum samples were obtained at 0, 30, and 120 min after oral glucose loading for glucose, insulin, and C-peptide level measurements. Fasting plasma fasting free triiodothyronine (FT3), free thyroxin (FT4), and thyroid stimulating hormone concentrations were also detected. All participants were subjected to a 3-day CGM after baseline data were collected. The primary endpoint was the difference in the mean amplitude of the glycemic excursions between the two groups.

resultsCompared with the healthy subjects, the GD patients had higher mean amplitude of glycemic excursions (MAGE) (P < 0.01). Multiple linear stepwise regression analysis showed that FT4 level was an independent factor for the MAGE. Interestingly, the GD patients had a significant prolongation in the time to peak glucose, especially after breakfast (P < 0.01), and the elevation in the incremental area under the curve of glucose after breakfast till 4 hours later.

conclusionsUncontrolled GD patients with normal glucose metabolism had a greater GV, and the FT4 level may contributed to the increased GV.

Indexed as

Blood GlucoseAdultBlood Glucose Self-MonitoringC-PeptideFemaleGlycated HemoglobinGraves DiseaseHumansInsulinMaleMiddle AgedThyroid HormonesBlood GlucoseC-PeptideGlycated HemoglobinInsulinThyroid HormonesContinuous glucose monitoringGlycemic variationGraves’ diseaseMean amplitude of glycemic excursions

Identifiers

PMID30515677
PMCPMC6531392
OpenAlexW2903239545

What Socratic holds

Textmetadata
LicenceCC BY
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.