Evidence mapPaperPMID 33813879Full record

ArticleAmerican journal of physiology. Endocrinology and metabolism2021

Importance of the route of insulin delivery to its control of glucose metabolism.

Dale S Edgerton, Mary C Moore, Justin M Gregory, Guillaume Kraft, Alan D Cherrington

Open access · greenAbstract readEditorial
In one paragraph

Article in American journal of physiology. Endocrinology and metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Insulin Therapy for the Management of Diabetes Mellitus: A Narrative Review of Innovative Treatment Strategies.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
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 1 institution in 1 country.

Dale S EdgertonDepartment of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, Tennessee.ORCID 0000-0002-3095-4599
Mary C MooreDepartment of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Justin M GregoryDepartment of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Guillaume KraftDepartment of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, Tennessee.ORCID 0000-0001-8538-4725
Alan D CherringtonDepartment of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Vanderbilt University · US

Funding

REGULATION OF GLUCOSE UPTAKE DURING EXERCISE--PILOT/FEASIBILITY STUDYP60DK020593 · VANDERBILT UNIVERSITY · 1986 to 2005
$14.1M
MULTIDISCIPLINARY TRAINING IN MOLECULAR ENDOCRINOLOGYT32DK007563 · VANDERBILT UNIVERSITY · 1988 to 2025
$4.0M
REGULATION OF NET HEPATIC GLUCOSE UPTAKE IN VIVOR01DK043706 · VANDERBILT UNIVERSITY · 1991 to 2005
$2.5M
Vanderbilt Diabetes Research CenterP30DK020593 · VANDERBILT UNIVERSITY MEDICAL CENTER · 2025 to 2025
$1.8M
GLUCONEOGENESIS &GLYCOGENOLYSIS:ROLE &REGULATIONR01DK018243 · VANDERBILT UNIVERSITY · 1986 to 2025
$677k
NIDDK NIH HHS P30 DK020593NIDDK NIH HHS P60 DK020593NIDDK NIH HHS R01 DK018243NIDDK NIH HHS R01 DK043706NIDDK NIH HHS T32 DK007563
6 · The paper itself

Abstract

Pancreatic insulin secretion produces an insulin gradient at the liver compared with the rest of the body (approximately 3:1). This physiological distribution is lost when insulin is injected subcutaneously, causing impaired regulation of hepatic glucose production and whole body glucose uptake, as well as arterial hyperinsulinemia. Thus, the hepatoportal insulin gradient is essential to the normal control of glucose metabolism during both fasting and feeding. Insulin can regulate hepatic glucose production and uptake through multiple mechanisms, but its direct effects on the liver are dominant under physiological conditions. Given the complications associated with iatrogenic hyperinsulinemia in patients treated with insulin, insulin designed to preferentially target the liver may have therapeutic advantages.

Indexed as

Blood GlucoseDrug Administration RoutesGluconeogenesisGlucoseGlycemic ControlHumansHyperinsulinismHypoglycemiaInsulinInsulin Infusion SystemsInsulin SecretionLiverBlood GlucoseGlucoseInsulinCNS insulinfree fatty acidsglucagonhepatic glucose productionhepatic glucose uptake

Identifiers

PMID33813879
PMCPMC8238128
OpenAlexW3141310947

What Socratic holds

Textmetadata
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.