Evidence mapPaperPMID 30586738Full record

Trial reportCirculation2019

Glycemic Control, Cardiac Autoimmunity, and Long-Term Risk of Cardiovascular Disease in Type 1 Diabetes Mellitus.

Giovane R Sousa, David Pober, Alfonso Galderisi, HuiJuan Lv, Liping Yu, Alexandre C Pereira, Alessandro Doria, Mikhail Kosiborod, Myra A Lipes

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Circulation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
11.8field-weighted citation impact, top 1% 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

54 citing papers in PubMed, 120 citations in OpenAlex.

  1. Trial
  2. Functional Autoantibodies in Myocardial Diseases.JACC. Basic to translational science · 2026
    Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Cardiovascular Event Prevalence in Type 1 Versus Type 2 Diabetes: Veradigm Metabolic Registry Insights.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  11. Delay discounting and symptoms of anxiety and depression in adolescents experiencing challenges with managing type 1 diabetes.Children's health care : journal of the Association for the Care of Children's Health · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Oxidative Stress, Endothelial Dysfunction, andAntioxidants & redox signaling · 2024
    Review
  17. Review
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Giovane R SousaResearch Division, Joslin Diabetes Center, Harvard Medical School, Boston, MA (G.R.S., D.P., A.G., H.L., A.D., M.A.L.).
David PoberResearch Division, Joslin Diabetes Center, Harvard Medical School, Boston, MA (G.R.S., D.P., A.G., H.L., A.D., M.A.L.).
Alfonso GalderisiResearch Division, Joslin Diabetes Center, Harvard Medical School, Boston, MA (G.R.S., D.P., A.G., H.L., A.D., M.A.L.).
HuiJuan LvResearch Division, Joslin Diabetes Center, Harvard Medical School, Boston, MA (G.R.S., D.P., A.G., H.L., A.D., M.A.L.).
Liping YuBarbara Davis Center for Childhood Diabetes, University of Colorado, Anschutz Medical Campus, Aurora (L.Y.).
Alexandre C PereiraLaboratory of Genetics and Molecular Cardiology, Heart Institute, University of Sao Paulo, Brazil (A.C.P.).
Alessandro DoriaResearch Division, Joslin Diabetes Center, Harvard Medical School, Boston, MA (G.R.S., D.P., A.G., H.L., A.D., M.A.L.).
Mikhail KosiborodSaint Luke's Mid America Heart Institute, University of Missouri-Kansas City (M.K.).
Myra A LipesResearch Division, Joslin Diabetes Center, Harvard Medical School, Boston, MA (G.R.S., D.P., A.G., H.L., A.D., M.A.L.).
Brigham and Women's Hospital · USJoslin Diabetes Center · USSaint Luke's Health System · USUniversidade de São Paulo · BRUniversity of Colorado Anschutz Medical Campus · US

Funding

PILOT STUDY--SECRETORY TARGETING IN PANCREATIC B CELLSP30DK036836 · JOSLIN DIABETES CENTER · 1986 to 2025
$12.1M
Variability in Adipokine Genes and AtherosclerosisR01HL073168 · JOSLIN DIABETES CENTER · 2003 to 2005
$1.7M
Molecular Mechanisms of Autoimmune Heart DiseaseR01HL077554 · JOSLIN DIABETES CENTER · 2004 to 2005
$934k
Autoimmune Mechanisms /Progression of CVD in Type 1 DiabR01DK072090 · JOSLIN DIABETES CENTER · 2005 to 2005
$400k
NHLBI NIH HHS R01 HL073168NHLBI NIH HHS R01 HL077554NIDDK NIH HHS P30 DK036836NIDDK NIH HHS R01 DK072090NIDDK NIH HHS R01 DK103609NIDDK NIH HHS R01 DK103699
6 · The paper itself

Abstract

backgroundPoor glycemic control is associated with increased risk of cardiovascular disease (CVD) in type 1 diabetes mellitus (T1DM); however, little is known about mechanisms specific to T1DM. In T1DM, myocardial injury can induce persistent cardiac autoimmunity. Chronic hyperglycemia causes myocardial injury, raising the possibility that hyperglycemia-induced cardiac autoimmunity could contribute to long-term CVD complications in T1DM.

methodsWe measured the prevalence and profiles of cardiac autoantibodies (AAbs) in longitudinal samples from the DCCT (Diabetes Control and Complications Trial) in participants with mean hemoglobin A

resultsApart from HbA

conclusionsPoor glycemic control is associated with cardiac autoimmunity in T1DM. Furthermore, cardiac AAb positivity is associated with an increased risk of CVD decades later, suggesting a role for autoimmune mechanisms in the development of CVD in T1DM, possibly through inflammatory pathways.

Indexed as

AdultAutoantibodiesAutoimmunityBrazilCase-Control StudiesChagas CardiomyopathyCohort StudiesDiabetes Mellitus, Type 1FemaleHLA AntigensHumansHyperglycemiaMaleMyocardiumPrevalenceRiskAutoantibodiesHLA Antigensautoantibodiesbiomarkerscardiovascular diseasesdiabetes mellitushyperglycemia

Identifiers

PMID30586738
PMCPMC6361693
OpenAlexW2902018714

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.