Evidence mapPaperPMID 3825934Full record

ArticleThe American journal of cardiology1987

Magnitude and determinants of coronary artery disease in juvenile-onset, insulin-dependent diabetes mellitus.

A S Krolewski, E J Kosinski, J H Warram, O S Leland, E J Busick, A C Asmal, L I Rand, A R Christlieb, R F Bradley, C R Kahn

7 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in The American journal of cardiology, 1987. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 151 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed, 3 pooled it
8.0field-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.

NCT01881828 phase3completedstarted 2013, after this paper: background citation

A Randomized Trial of Metformin as Adjunct Therapy for Overweight Adolescents With Type 1 Diabetes

Ran2013Enrolled164Registered outcomes16Posted comparisons0ConditionsType 1 DiabetesArmsMetformin (glucophage), oral placebo
Open the trial in the graph
NCT02045290 phase3completedstarted 2014, after this paper: background citation

Metformin Therapy for Overweight Adolescents With Type 1 Diabetes (T1D)--Insulin Clamp Ancillary Study for Assessment of Insulin Resistance

Ran2014Enrolled37Registered outcomes3Posted comparisons0ConditionsType 1 DiabetesArmsMetformin, Placebo
Open the trial in the graph
NCT04133922 early_phase1withdrawnstarted 2019, after this paper: background citation

Effect of GLP-1 on Microvascular Insulin Responses in Type 1 Diabetes

Ran2019Enrolled0Registered outcomes5Posted comparisons0ConditionsInsulin Sensitivity/Resistance, Type 1 DiabetesArmsDextrose 20 % in Water, GLP-1, Insulin
Open the trial in the graph
NCT02490124 completednot on this mapstarted 2014, after this paper: background citation

The Effect of Type 1 Diabetes on Pan-Arterial Vascular Function and Insulin Sensitivity in Humans

TypeobservationalSponsorUniversity of VirginiaRan2014 to 2015Enrolled7ConditionsDiabetes Type 1
NCT03174288 nacompletednot on this mapstarted 2015, after this paper: background citation

The Impact of Fitness and Mineralocorticoid Receptor Blockade on Vascular Dysfunction in Adults With Type 1 Diabetes

TypeinterventionalSponsorUniversity of VirginiaRan2015 to 2019Enrolled32ConditionsType 1 DiabetesArmsExercise, Spironolactone
NCT05790785 recruitingnot on this mapstarted 2024, after this paper: background citation

Understanding Vascular Complications in Children From Type 1 Diabetes Diagnosis

TypeobservationalSponsorUniversity of British ColumbiaRan2024 to 2027Enrolled150ConditionsType 1 Diabetes, Cardiovascular Complications, Child, Adolescent
NCT07728435 completednot on this mapstarted 2025, after this paper: background citation

Cardiopulmonary Fitness and Health-Related Quality of Life in Children and Adolescents With Type 1 Diabetes: The Prospective Multicenter Controlled FIT-T1D Study

TypeobservationalSponsorInstitut Saint PierreRan2025 to 2026Enrolled214ConditionsDiabete Type 1
3 · Its place in the literature

Who cites it

151 citing papers in PubMed, 3 syntheses or guidelines pooled it, 658 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Clinical practice guidelines for treatment of diabetes mellitus. Expert Committee of the Canadian Diabetes Advisory Board.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1992
    Guideline
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  15. Article
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  19. Review
  20. Manipulation of Post-Prandial Hyperglycaemia in Type 2 Diabetes: An Update for Practitioners.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Review

91 more citing papers are in PubMed but not listed here.

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

10 authors at 5 institutions in 1 country.

A S Krolewski
E J Kosinski
J H Warram
O S Leland
E J Busick
A C Asmal
L I Rand
A R Christlieb
R F Bradley
C R Kahn
Harvard University Press · USBrigham and Women's Hospital · USDeaconess Hospital · USHarvard University · USJoslin Diabetes Center · US

Funding

NIADDK NIH HHS AM-20530
6 · The paper itself

Abstract

The risk of premature coronary artery disease (CAD) and its determinants were investigated in a cohort of 292 patients with juvenile-onset, insulin-dependent diabetes mellitus (IDDM) who were followed for 20 to 40 years. Although patients with juvenile-onset IDDM had an extremely high risk of premature CAD, the earliest deaths due to CAD did not occur until late in the third decade of life. After age 30 years, the mortality rate due to CAD increased rapidly, equally in men and women, and particularly among persons with renal complications. By age 55 years the cumulative mortality rate due to CAD was 35 +/- 5%. This was far higher than the corresponding rate for nondiabetic persons in the Framingham Heart Study, 8% for men and 4% for women. Angina and acute nonfatal myocardial infarction followed a similar pattern, as did asymptomatic CAD detected by stress test, so that their combined prevalence rate was 33% among survivors aged 45 to 59 years. Age at onset of IDDM and the presence of eye complications did not contribute to risk of premature CAD. This pattern suggests that juvenile-onset diabetes and its renal complications are modifiers of the natural history of atherosclerosis in that although they profoundly accelerate progression of early atherosclerotic lesions to very severe CAD, they may not contribute to initiation of atherosclerosis.

Indexed as

AdolescentAdultAngina PectorisChildChild, PreschoolCoronary DiseaseDiabetes Mellitus, Type 1Diabetic AngiopathiesDiabetic RetinopathyFemaleFollow-Up StudiesHumansInfantMaleMyocardial InfarctionRisk

Identifiers

PMID3825934
OpenAlexW2047676937

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

and 1 more above

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.