Evidence mapPaperPMID 33419065Full record

ReviewNutrients2021

Regulation of Postabsorptive and Postprandial Glucose Metabolism by Insulin-Dependent and Insulin-Independent Mechanisms: An Integrative Approach.

George D Dimitriadis, Eirini Maratou, Aikaterini Kountouri, Mary Board, Vaia Lambadiari

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 3 pooled it
15.6field-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

92 citing papers in PubMed, 3 syntheses or guidelines pooled it, 205 citations in OpenAlex.

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  6. Brain patterns and risk factors in the FINGER RCT multimodal lifestyle intervention.The journal of prevention of Alzheimer's disease · 2025
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32 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 2 countries.

George D DimitriadisMedical School, Sector of Medicine, National and Kapodistrian University of Athens, 15772 Athens, Greece.ORCID 0000-0002-0315-9936
Eirini MaratouDepartment of Clinical Biochemistry, Medical School, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Aikaterini KountouriResearch Institute and Diabetes Center, 2nd Department of Internal Medicine, "Attikon" University Hospital, 1 Rimini Street, 12542 Haidari, Greece.ORCID 0000-0001-5829-7327
Mary BoardSt. Hilda's College, Cowley, University of Oxford, Oxford OX4 1DY, UK.ORCID 0000-0002-6749-4303
Vaia LambadiariResearch Institute and Diabetes Center, 2nd Department of Internal Medicine, "Attikon" University Hospital, 1 Rimini Street, 12542 Haidari, Greece.
National and Kapodistrian University of Athens · GRUniversity General Hospital Attikon · GRUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glucose levels in blood must be constantly maintained within a tight physiological range to sustain anabolism. Insulin regulates glucose homeostasis via its effects on glucose production from the liver and kidneys and glucose disposal in peripheral tissues (mainly skeletal muscle). Blood levels of glucose are regulated simultaneously by insulin-mediated rates of glucose production from the liver (and kidneys) and removal from muscle; adipose tissue is a key partner in this scenario, providing nonesterified fatty acids (NEFA) as an alternative fuel for skeletal muscle and liver when blood glucose levels are depleted. During sleep at night, the gradual development of insulin resistance, due to growth hormone and cortisol surges, ensures that blood glucose levels will be maintained within normal levels by: (a) switching from glucose to NEFA oxidation in muscle; (b) modulating glucose production from the liver/kidneys. After meals, several mechanisms (sequence/composition of meals, gastric emptying/intestinal glucose absorption, gastrointestinal hormones, hyperglycemia mass action effects, insulin/glucagon secretion/action, de novo lipogenesis and glucose disposal) operate in concert for optimal regulation of postprandial glucose fluctuations. The contribution of the liver in postprandial glucose homeostasis is critical. The liver is preferentially used to dispose over 50% of the ingested glucose and restrict the acute increases of glucose and insulin in the bloodstream after meals, thus protecting the circulation and tissues from the adverse effects of marked hyperglycemia and hyperinsulinemia.

Indexed as

Adipose TissueBlood GlucoseFastingFatty Acids, NonesterifiedGastric EmptyingGlucoseHomeostasisHumansHyperglycemiaHyperinsulinismHypoglycemiaIncretinsInsulinInsulin ResistanceKidneyLiverBlood GlucoseFatty Acids, NonesterifiedGlucoseIncretinsInsulinadipose tissuefastingincretinsinsulin action secretionlivermeal sequencemusclepostabsorptive postprandial glucose metabolism

Identifiers

PMID33419065
PMCPMC7825450
OpenAlexW3118771552

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.