Evidence map›Paper›PMID 30520201›Full record

Trial reportPediatric diabetes2019

Two- vs one-hour glucose tolerance testing: Predicting prediabetes in adolescent girls with obesity.

Kannan Kasturi, Anthony U Onuzuruike, Shwetha Kunnam, Lauren B Shomaker, Jack A Yanovski, Stephanie T Chung

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Prediabetes in children and adolescents: An updated review.World journal of clinical pediatrics · 2023
    Review
  3. Article
  4. Article
  5. Article
  6. Review of methods for detecting glycemic disorders.Diabetes research and clinical practice · 2020
    Review
  7. The Oral Glucose Tolerance Test: 100 Years Later.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020
    Review
  8. Article
  9. 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

6 authors at 2 institutions in 1 country.

Kannan KasturiNational Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.
Anthony U OnuzuruikeSection on Ethnicity and Health, Diabetes, Endocrinology and Obesity Branch, National Institute of Diabetes, Digestive and Kidney Diseases (NIDDK), National Institutes of Health (NIH), Bethesda, Maryland.
Shwetha KunnamSection on Ethnicity and Health, Diabetes, Endocrinology and Obesity Branch, National Institute of Diabetes, Digestive and Kidney Diseases (NIDDK), National Institutes of Health (NIH), Bethesda, Maryland.
Lauren B ShomakerHuman Development and Family Studies, Colorado State University; Community and Behavioral Health, Colorado School of Public Health; and Pediatric Endocrinology, University of Colorado School of Medicine/Children's Hospital Colorado, Aurora, Colorado.
Jack A YanovskiNational Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.
Stephanie T ChungSection on Ethnicity and Health, Diabetes, Endocrinology and Obesity Branch, National Institute of Diabetes, Digestive and Kidney Diseases (NIDDK), National Institutes of Health (NIH), Bethesda, Maryland.ORCID 0000-0001-6989-0417
National Institutes of Health · USColorado School of Public Health · US

Funding

Physiology, Psychology, and Genetics of ObesityZIAHD000641 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI YANOVSKI, JACK A. · 2009 to 2025
$24.8M
Therapeutic targets in African-American youth with type 2 diabetesZIADK075133 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI CHUNG, STEPHANIE THERESE · 2016 to 2025
$5.8M
Depression and Insulin Resistance in AdolescentsR00HD069516 · NICHD · COLORADO STATE UNIVERSITY · PI SHOMAKER, LAUREN BERGER · 2013 to 2015
$700k
Intramural NIH HHS Z99 DK999999Intramural NIH HHS Z99 HD999999Intramural NIH HHS ZIA HD000641NICHD NIH HHS R00 HD069516
6 · The paper itself

Abstract

backgroundDuring an oral glucose tolerance test (OGTT), morphological features of the glucose curve (monophasic curve, glucose peak >30 minutes and 1-hour glucose ≥ 155 mg/dL) maybe associated with higher prediabetes risk, but their reproducibility and predictive ability in adolescents with obesity are unknown.

methodsNondiabetic adolescent girls with obesity underwent a multiple-sample OGTT at baseline (n = 93), 6 weeks (n = 83), and 1 year (n = 72). Short-term reproducibility (baseline to 6 weeks) and the predictive ability for prediabetes (baseline to 1 year) for each feature were compared with standard fasting and 2-hour OGTT diagnostic criteria.

resultsThere was fair/moderate short-term reproducibility (κ < 0.5) for all morphological features. At 1 year, compared with standard OGTT criteria, the areas under the receiver operating curve (ROC-AUCs) for glucose peak > 30 minutes, 1 hour ≥155 mg/dL or a combination of the two criteria were comparable (all P > 0.05), but the monophasic curve had the lowest ROC-AUC (P < 0.001).

conclusionsIn adolescent girls with obesity, glucose peak > 30 minutes and/or glucose ≥155 mg/dL had similar reproducibility and 1-year predictive ability for prediabetes compared with standard OGTT criteria. The shortened 1-hour OGTT may provide diagnostic equivalence for prediabetes risk with the additional advantage of a less time-consuming risk assessment.

Indexed as

AdolescentBlood GlucoseChildCognitive Behavioral TherapyDiabetes Mellitus, Type 2Disease ProgressionFemaleGlucose Tolerance TestHumansOverweightPatient Education as TopicPediatric ObesityPrediabetic StatePredictive Value of TestsPrognosisReproducibility of ResultsBlood Glucoseadolescenceglucose toleranceobesityOGTTprediabetesreproducibility

Identifiers

PMID30520201
PMCPMC6361688
OpenAlexW2905429433

What Socratic holds

Textmetadata
LicenceTDM
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.