Evidence map›Paper›PMID 36138034›Full record

ReviewNature reviews. Disease primers2022

Adult-onset autoimmune diabetes.

Raffaella Buzzetti, Ernesto Maddaloni, Jason Gaglia, R David Leslie, F Susan Wong, Bernhard O Boehm

Open access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
7.9field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. IFN-α Neutralizing Antibodies Distinguish LADA From Early-onset Type 1 Diabetes.The Journal of clinical endocrinology and metabolism · 2025
    Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Type 1 Diabetes Is Not Just a Pediatric Problem.Clinical diabetes : a publication of the American Diabetes Association · 2025
    Article
  18. Review
  19. Review
  20. 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

6 authors at 5 institutions in 4 countries.

Raffaella BuzzettiDepartment of Experimental Medicine, Sapienza University of Rome, Rome, Italy. raffaella.buzzetti@uniroma1.it.ORCID 0000-0003-1490-6041
Ernesto MaddaloniDepartment of Experimental Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0003-3844-9463
Jason GagliaJoslin Diabetes Center, Harvard Medical School, Boston, MA, US.ORCID 0000-0003-2904-312X
R David LeslieCentre for Immunobiology, Blizard Institute, Queen Mary University of London, London, UK.ORCID 0000-0002-1786-1531
F Susan WongDivision of Infection and Immunity, Systems Immunity Research Institute, Cardiff School of Medicine, Cardiff University, Cardiff, UK.ORCID 0000-0002-2812-8845
Bernhard O BoehmLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Sapienza University of Rome · ITCardiff University · GBJoslin Diabetes Center · USNanyang Technological University · SGQueen Mary University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adult-onset autoimmune (AOA) diabetes pathophysiology starts with immune changes, followed by dysglycaemia and overt disease. AOA diabetes can occur as classic type 1 diabetes when associated with severe loss of insulin secretion. More frequently, it is diagnosed as latent autoimmune diabetes in adults, a slowly progressing form with late onset, a long period not requiring insulin, and it is often misdiagnosed as type 2 diabetes. As its clinical presentation varies remarkably and immune markers often lack specificity, it is challenging to classify each case ad hoc, especially when insulin treatment is not required at diagnosis. Proper care of AOA diabetes aims to prevent complications and to improve quality of life and life expectancy. To achieve these goals, attention should be paid to lifestyle factors, with the aid of pharmacological therapies properly tailored to each individual clinical setting. Given the heterogeneity of the disease, choosing the right therapy for AOA diabetes is challenging. Most of the trials testing disease-modifying therapies for autoimmune diabetes are conducted in people with childhood onset, whereas non-insulin diabetes therapies have mostly been studied in the larger population with type 2 diabetes. More randomized controlled trials of therapeutic agents in AOA diabetes are needed.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2AdultBiomarkersChildHumansInsulinQuality of LifeBiomarkersInsulin

Identifiers

PMID36138034
OpenAlexW4296631711

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.