Evidence map›Paper›PMID 34377883›Full record

ArticleJournal of the Endocrine Society2021

Measurement of Peak C-Peptide at Diagnosis Informs Glycemic Control but not Hypoglycemia in Adults With Type 1 Diabetes.

Alice L J Carr, Richard A Oram, Shannon M Marren, Timothy J McDonald, Parth Narendran, Robert C Andrews

Open access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Alice L J CarrInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, Devon EX2 5DW, UK.ORCID https://orcid.org/0000-0003-0704-8843
Richard A OramInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, Devon EX2 5DW, UK.
Shannon M MarrenGreat Western Hospitals NHS Foundation Trust, Swindon, SN3 6BB, UK.
Timothy J McDonaldThe Academic Department of Blood Sciences, The Royal Devon and Exeter NHS Foundation Trust, Exeter, EX2 5DW, UK.
Parth NarendranDepartment of Diabetes, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK.
Robert C AndrewsInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, Devon EX2 5DW, UK.ORCID https://orcid.org/0000-0003-4939-1738
University of Exeter · GBGreat Western Hospital · GBRoyal Devon & Exeter NHS Foundation Trust · GBUniversity Hospitals Birmingham NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextHigh-residual C-peptide in longer-duration type 1 diabetes (T1D) is associated with fewer hypoglycemic events and reduced glycemic variability. Little is known about the impact of C-peptide close to diagnosis.

objectiveUsing continuous glucose monitoring (CGM) data from a study of newly diagnosed adults with T1D, we aimed to explore if variation in C-peptide close to diagnosis influenced glycemic variability and risk of hypoglycemia.

methodsWe studied newly diagnosed adults with T1D who wore a Dexcom G4 CGM for 7 days as part of the Exercise in Type 1 Diabetes (EXTOD) study. We examined the relationship between peak stimulated C-peptide and glycemic metrics of variability and hypoglycemia for 36 CGM traces from 23 participants.

resultsFor every 100 pmol/L-increase in peak C-peptide, the percentage of time spent in the range 3.9 to 10 mmol/L increased by 2.4% (95% CI, 0.5-4.3),

conclusionC-peptide is associated with time spent in the normal glucose range and with less hyperglycemia, but not risk of hypoglycemia in newly diagnosed people with T1D.

Indexed as

CGMC-peptidehypoglycemiatype 1 diabetes

Identifiers

PMID34377883
PMCPMC8344843
OpenAlexW3185867283

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.