Evidence mapPaperPMID 30556347Full record

ArticleJournal of diabetes investigation2019

Helicobacter pylori eradication improves glycemic control in type 2 diabetes patients with asymptomatic active Helicobacter pylori infection.

Kai-Pi Cheng, Yao-Jong Yang, Hao-Chang Hung, Ching-Han Lin, Chung-Tai Wu, Mei-Hui Hung, Bor-Shyang Sheu, Horng-Yih Ou

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 31 citations in OpenAlex.

  1. Association betweenThe Journal of international medical research · 2026
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  2. Metabolism open · 2025
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  3. Eradication ofIranian journal of microbiology · 2025
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  4. Frontiers in cellular and infection microbiology · 2025
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  5. Investigating the Effect of eradication ofArchives of Razi Institute · 2024
    Article
  6. Article
  7. Article
  8. Identification of hub genes associated withWorld journal of diabetes · 2024
    Article
  9. Relationship betweenFrontiers in cellular and infection microbiology · 2023
    Article
  10. Article
  11. AcuteInfection and drug resistance · 2022
    Article
  12. Prevalence ofAdvanced biomedical research · 2020
    Article
  13. Article
  14. Relation ofDiabetes & vascular disease research
    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

8 authors at 3 institutions in 1 country.

Kai-Pi ChengDivision of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Yao-Jong YangDepartment of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Hao-Chang HungDivision of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Ching-Han LinDivision of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chung-Tai WuInstitute of Clinical Medicine , College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Mei-Hui HungDepartment of Nursing, Shu-Zen Junior College of Medicine and Management, Kaohsiung, Taiwan.
Bor-Shyang SheuInstitute of Clinical Medicine , College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Horng-Yih OuDivision of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.ORCID https://orcid.org/0000-0002-3350-6548
National Cheng Kung University Hospital · TWChest Hospital, Ministry of Health and Welfare · TWMin-Hwei College of Health Care Management · TW

Funding

Landmark Project to Promote the Innovation & Competitiveness of Clinical Trials by the Excellent Clinical TrialMinistry of Health and Welfare MOHW105-TDU-B-211-133016
6 · The paper itself

Abstract

AIMS/

introductionHelicobacter pylori infection is associated with insulin resistance and glycemia in non-diabetes. However, the relationship between H. pylori infection and glycemia in diabetes remains inconclusive. Therefore, we explored the effect of H. pylori infection status and its eradication on glycemic control and antidiabetic therapy in type 2 diabetes patients. MATERIALS AND

methodsA total of 549 diabetes patients were recruited for sequential two-step approach (immunoglobulin G [IgG] serology followed by

resultsDespite no between-group difference in A1C, the "active" infection group (n = 208) had significantly more prescriptions of oral antidiabetic drug classes (2.1 ± 1.1 vs 1.8 ± 1.1, P = 0.004) and higher percentages of sulfonylurea use (67.3% vs 50.4%, P < 0.001) than the "non-active" infection group (n = 341). There were no differences in A1C and oral antidiabetic drug classes between "past" (n = 111) and "never/remote" infection groups (n = 230). Compared with the non-eradication group (n = 99), the eradication group (n = 98) had significant within-group (-0.17 ± 0.80%, P = 0.036) and between-group (-0.23 ± 0.10%, P = 0.024) improvements in A1C.

conclusionsDiabetes patients with active H. pylori infection need higher glycemic treatment intensity to achieve comparable glycemia. Furthermore, H. pylori eradication decreases A1C, and thus improves glycemic control.

Indexed as

AdultAgedAged, 80 and overAnti-Bacterial AgentsBiomarkersBlood GlucoseCross-Sectional StudiesDiabetes Mellitus, Type 2Drug Therapy, CombinationFemaleFollow-Up StudiesGlycated HemoglobinGlycemic IndexHelicobacter InfectionsHelicobacter pyloriHumansAnti-Bacterial AgentsBiomarkersBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsDiabetesGlycemic controlHelicobacter eradication

Identifiers

PMID30556347
PMCPMC6626959
OpenAlexW2903888950

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.