Evidence map›Paper›PMID 30973204›Full record

Trial reportJournal of diabetes2019

Effect of basal insulin supplement therapy on diabetic retinopathy in short-duration type 2 diabetes: A one-year randomized parallel-group trial.

Pan-Wei Mu, Xi-Xiang Tang, Ying Tan, Yi-Na Wang, Shuo Lin, Man-Man Wang, Jiong Shu, Jing Wang, Yong-Jun Zhang, Hua Liang and 3 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 96% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Trial
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

13 authors at 2 institutions in 1 country.

Pan-Wei MuDepartment of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.ORCID https://orcid.org/0000-0001-5413-6876
Xi-Xiang TangAdvanced Medical Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Ying TanDepartment of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Yi-Na WangAdvanced Medical Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Shuo LinDepartment of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Man-Man WangDepartment of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Jiong ShuDepartment of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Jing WangDepartment of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Yuedong Hospital, Meizhou, China.
Yong-Jun ZhangDepartment of Endocrinology, The Fifth Affiliated Hospital of Zunyi Medical University, Zhuhai, China.
Hua LiangDepartment of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Bai-Run LinDepartment of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Yuedong Hospital, Meizhou, China.
Meng-Yin CaiDepartment of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Yan-Ming ChenDepartment of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Sun Yat-sen University · CNZunyi Medical University · CN

Funding

Clinical research projects of Sun Yat-sen University 2015015General Program of National Natural Science Foundation of China 81770826key special projects of medical and health collaborative innovation of Guangzhou city 201604020016National Key R&D Program of China 2017YFA0105803science and technology plan projects of Guangdong province 2016A050502010special scientific research project of Guangzhou city 2060404
6 · The paper itself

Abstract

backgroundIn this study, we compared the effect on diabetic retinopathy (DR) between oral antidiabetic drugs (OADs) alone and in combination with basal insulin-supported OADs therapy (BOT). [Correction added on 11 November 2019, after first online publication: In Abstract under Background section, "DR" has been corrected into "diabetic retinopathy (DR)".]

methodsBetween January 2015 and January 2018, this study enrolled 290 patients (age 18-65 years) with diabetes duration between 0 and 5 years. Patients were randomly assigned to receive OADs or BOT after 14 days intensive insulin treatment. Examinations were performed at the beginning and end of the study.

resultsFewer patients developed DR in the BOT than OADs group (8 [6.06%] vs 12 [8.3%], respectively), and all cases of DR were non-proliferative. Blood glucose concentrations were higher in the BOT than OADs group at the 3rd month, but lower in the former at the 6th and 12th month. The rate of reaching target HbA1c ≤7% was lower in the BOT than OADs group at the 3rd month (63.6% vs 72.2%, respectively), similar between the two groups at the 6th month (60.6% vs 66.6%, respectively) and higher in the BOT group at the 12th month (75.0% vs 61.1%, respectively). The SD of fasting blood glucose (FBG), coefficient of variation of FBG, SD of blood glucose (SDBG), and mean amplitude of glycemic excursions were lower in the BOT than OADs group. Changes in the levels of three cytokines (interleukin [IL]-1β, IL-6, and IL-17α) were significantly less in the BOT than OADs group.

conclusionsTwelve months of BOT decreased the incidence of DR in short-duration type 2 diabetes by reducing glycemia more effectively, stably, and completely than OADs alone.

Indexed as

Administration, OralAdolescentAdultAgedBiomarkersBlood GlucoseChinaDiabetes Mellitus, Type 2Diabetic RetinopathyDrug Therapy, CombinationFemaleGlycated HemoglobinHumansHypoglycemic AgentsIncidenceInjectionsBiomarkersBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulin GlargineInterleukinsbasal insulindiabetic retinopathyglycemic variabilitysubsequent therapy后续治疗基础胰岛素糖尿病视网膜病变血糖波动

Identifiers

PMID30973204
PMCPMC6899662
OpenAlexW2937982233

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.