Evidence map›Paper›PMID 35324747›Full record

ReviewToxics2022

The Other Face of Insulin-Overdose and Its Effects.

Szymon Rzepczyk, Klaudia Dolińska-Kaczmarek, Aleksandra Uruska, Czesław Żaba

Abstract readReview
In one paragraph

Review in Toxics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Current status of pancreatic islet xenotransplantation.Clinical transplantation and research · 2025
    Review
  7. Article
  8. Insulin-Related Suicides-3 Cases.Academic forensic pathology · 2024
    Article
  9. Article
  10. Intentional Insulin Overdose and Depression in Subjects with and Without Diabetes Mellitus: A Commentary.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. 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

4 authors.

Szymon RzepczykForensic Medicine Departament, Poznan University of Medical Sciences, 60-781 Poznan, Poland.ORCID 0000-0001-6330-1511
Klaudia Dolińska-KaczmarekForensic Medicine Departament, Poznan University of Medical Sciences, 60-781 Poznan, Poland.ORCID 0000-0002-0933-2103
Aleksandra UruskaDepartment of Internal Medicine and Diabetology, Poznan University of Medical Sciences, 60-834 Poznan, Poland.
Czesław ŻabaForensic Medicine Departament, Poznan University of Medical Sciences, 60-781 Poznan, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Insulin is the most effective glycemic-lowering drug, and for people suffering from type 1 diabetes it is a life-saving drug. Its self-dosing by patients may be associated with a higher risk of overdose, both accidental and deliberate. Insulin-induced hypoglycemia causes up to 100,000 emergency department calls per year. Cases of suicide attempts using insulin have been described in the literature since its introduction into therapy, and one of the important factors in their occurrence is the very fact of chronic disease. Up to 90% of patients who go to toxicology wards overdose insulin consciously. Patients with diabetes are burdened with a 2-3 times higher risk of developing depression compared to the general population. For this reason, it is necessary to develop an effective system for detecting a predisposition to overdose, including the assessment of the first symptoms of depression in patients with diabetes. A key role is played by a risk-conscious therapeutic team, as well as education. Further post-mortem testing is also needed for material collection and storage, as well as standardization of analytical methods and interpretation of results, which would allow for more effective detection and analysis of intentional overdose-both by the patient and for criminal purposes.

Indexed as

diabetes mellitushomicide-suicidehypoglycemiainsulinoverdose

Identifiers

PMID35324747
PMCPMC8955302

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.