Evidence mapPaperPMID 37500612Full record

Trial reportNature communications2023

Determinants of sustained stabilization of beta-cell function following short-term insulin therapy in type 2 diabetes.

Ravi Retnakaran, Jiajie Pu, Alexandra Emery, Stewart B Harris, Sonja M Reichert, Hertzel C Gerstein, Natalia McInnes, Caroline K Kramer, Bernard Zinman

Registry-linked trialOpen access · goldFull text readRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT02192424. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
7.0field-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.

NCT02192424 phase3completed

A Randomized Controlled Trial to Evaluate Early Intermittent Intensive Insulin Therapy as an Effective Treatment of Type 2 Diabetes: REmission Studies Evaluating Type 2 DM - Intermittent Insulin Therapy (RESET-IT)

Ran2014Enrolled109Registered outcomes6Posted comparisons0ConditionsType 2 DiabetesArmsMetformin alone, Metformin + Intermittent Insulin Therapy
Open the trial in the graph
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
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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

9 authors at 3 institutions in 1 country.

Ravi RetnakaranLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada. ravi.retnakaran@sinaihealth.ca.ORCID 0000-0003-1989-027X
Jiajie PuLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.
Alexandra EmeryLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.
Stewart B HarrisDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Canada.
Sonja M ReichertDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Canada.
Hertzel C GersteinDivision of Endocrinology, McMaster University, Hamilton, Canada.ORCID 0000-0001-8072-2836
Natalia McInnesDivision of Endocrinology, McMaster University, Hamilton, Canada.
Caroline K KramerLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.
Bernard ZinmanLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.
Mount Sinai Hospital · CAMcMaster University · CAWestern University · CA

Funding

CIHR MOP 133701
6 · The paper itself

Abstract

In early type 2 diabetes, the strategy of "induction" with short-term intensive insulin therapy followed by "maintenance" with metformin can stabilize pancreatic beta-cell function in some patients but not others. We thus sought to elucidate determinants of sustained stabilization of beta-cell function. In this secondary analysis of ClinicalTrials.Gov NCT02192424, adults with ≤5-years diabetes duration were randomized to 3-weeks induction insulin therapy (glargine/lispro) followed by metformin maintenance either with or without intermittent 2-week courses of insulin every 3-months for 2-years. Sustained stabilization (higher beta-cell function at 2-years than at baseline) was achieved in 55 of 99 participants. Independent predictors of sustained stabilization were the change in beta-cell function during induction and changes in hepatic insulin resistance and alanine aminotransferase during maintenance. Thus, initial reversibility of beta-cell dysfunction during induction and subsequent preservation of hepatic insulin sensitivity during maintenance are associated with sustained stabilization of beta-cell function following short-term insulin and metformin.ClinicalTrials.Gov NCT02192424.

Indexed as

Diabetes Mellitus, Type 2Insulin ResistanceMetforminAdultBlood GlucoseGlycated HemoglobinHumansHypoglycemic AgentsInsulinBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulinMetformin

Identifiers

PMID37500612
PMCPMC10374648
OpenAlexW4385306984

What Socratic holds

Textfull text, public
LicenceCC BY
Read underepoch 390

Registered trials

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.