Evidence map›Paper›PMID 33408693›Full record

SynthesisFrontiers in endocrinology2020

Relationship Between Type 2 Diabetes and White Matter Hyperintensity: A Systematic Review.

Dan-Qiong Wang, Lei Wang, Miao-Miao Wei, Xiao-Shuang Xia, Xiao-Lin Tian, Xiao-Hong Cui, Xin Li

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in endocrinology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 4 pooled it
4.5field-weighted citation impact, top 4% 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

51 citing papers in PubMed, 4 syntheses or guidelines pooled it, 93 citations in OpenAlex.

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  6. Cognitive reserve against vascular contributions to cognitive impairment and dementia: A scoping review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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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

7 authors at 3 institutions in 1 country.

Dan-Qiong WangDepartment of General Medical, Shanxi Bethune Hospital Shanxi Academy of Medical Sciences, Taiyuan, China.
Lei WangDepartment of General Medical, Shanxi Bethune Hospital Shanxi Academy of Medical Sciences, Taiyuan, China.
Miao-Miao WeiDepartment of Neurology, The Second Hospital of Tianjin Medical University, Tianjin, China.
Xiao-Shuang XiaDepartment of Neurology, The Second Hospital of Tianjin Medical University, Tianjin, China.
Xiao-Lin TianDepartment of Neurology, The Second Hospital of Tianjin Medical University, Tianjin, China.
Xiao-Hong CuiDepartment of Psychiatry, Shanxi Bethune Hospital Shanxi Academy of Medical Sciences, Taiyuan, China.
Xin LiDepartment of Neurology, The Second Hospital of Tianjin Medical University, Tianjin, China.
Second Hospital of Tianjin Medical University · CNShanxi Academy of Medical Sciences · CNTianjin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

White matter (WM) disease is recognized as an important cause of cognitive decline and dementia. White matter lesions (WMLs) appear as white matter hyperintensities (WMH) on T2-weighted magnetic resonance imaging (MRI) scans of the brain. Previous studies have shown that type 2 diabetes (T2DM) is associated with WMH. In this review, we reviewed the literature on the relationship between T2DM and WMH in PubMed and Cochrane over the past five years and explored the possible links among the presence of T2DM, the course or complications of diabetes, and WMH. We found that: (1) Both from a macro- and micro-scopic point of view, most studies support the relationship of a larger WMH and a decrease in the integrity of WMH in T2DM; (2) From the relationship between brain structural changes and cognition in T2DM, the poor performance in memory, attention, and executive function tests associated with abnormal brain structure is consistent; (3) Diabetic microangiopathy or peripheral neuropathy may be associated with WMH, suggesting that the brain may be a target organ for T2DM microangiopathy; (4) Laboratory markers such as insulin resistance and fasting insulin levels were significantly associated with WMH. High HbA1c and high glucose variability were associated with WMH but not glycemic control.

Indexed as

AnimalsCognitive DysfunctionDiabetes Mellitus, Type 2HumansMemory DisordersWhite Mattercognitive functionmicroangiopathy and neuropathymicroscopicrelationshiptype 2 diabetes mellituswhite matter hyperintensities

Identifiers

PMID33408693
PMCPMC7780232
OpenAlexW3114482261

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.