Evidence map›Paper›PMID 38539988›Full record

ReviewAnimals : an open access journal from MDPI2024

Progesterone-Related Diabetes Mellitus in the Bitch: Current Knowledge, the Role of Pyometra, and Relevance in Practice.

Álan Gomes Pöppl, José Lucas Xavier Lopes, Taís Bock Nogueira, Denise Iparraguirre da Silva, Bruna Dos Santos Machado

Open access · goldAbstract readReview
In one paragraph

Review in Animals : an open access journal from MDPI, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
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

5 authors at 1 institution in 1 country.

Álan Gomes PöpplDepartment of Animal Medicine, Faculty of Veterinary, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 91540-000, Brazil.ORCID 0000-0002-7117-5284
José Lucas Xavier LopesVeterinary Sciences Post-Graduating Program (PPGCV), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 91540-000, Brazil.ORCID 0009-0005-6632-3560
Taís Bock NogueiraVeterinary Sciences Post-Graduating Program (PPGCV), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 91540-000, Brazil.ORCID 0009-0000-3289-0157
Denise Iparraguirre da SilvaVeterinary Endocrinology and Metabolism Service (SEMV), Faculty of Veterinary, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 91540-000, Brazil.ORCID 0000-0003-2930-692X
Bruna Dos Santos MachadoVeterinary Endocrinology and Metabolism Service (SEMV), Faculty of Veterinary, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 91540-000, Brazil.ORCID 0000-0002-2825-3697
Universidade Federal do Rio Grande do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Progesterone-related diabetes mellitus (PRDM) in dogs is known for its particular potential for diabetes remission. This narrative review aims to provide relevant detailed information on (1) the canine estrus cycle and its impact on canine diabetes mellitus (CDM) etiology and management, (2) the role of pyometra as a further cause of insulin resistance, and (3) useful individual therapeutic and preventive strategies. PRDM is recognized due to diestrus, exogenous progestogen exposure, pregnancy, and P4-production ovarian dysfunction. Pyometra represents additional inflammatory and septic negative influence on insulin sensitivity, and its diagnosis associated with CDM is therapeutically challenging. The estrus cycle's hormone fluctuations seem to modulate peripheric insulin sensibility by influencing insulin receptor (IR) affinity and its binding capacity, as well as modulating tyrosine kinase activity. Pyometra was shown to negatively influence IR compensatory mechanisms to insulin resistance causing glucose intolerance. Spaying and pregnancy termination may cause diabetes remission in PRDM cases in a median time of 10 days (1-51). Pharmacological annulment of progesterone effects may benefit patients unable to undergo surgery; however, remission chances are virtually null. The ALIVE (Agreeing Language in Veterinary Endocrinology) project proposed new criteria for CDM diagnoses and subclinical diabetes recognition. These new concepts may increase the frequency of a PRDM diagnosis and, even more, its relevance. Spaying represents a preventive measure against pyometra and PRDM that should be individually assessed in light of its recognized benefits and harms.

Indexed as

aglepristonediestrusdogestrus cyclegrowth hormoneinsulin receptorinsulin resistancepregnancyspaying

Identifiers

PMID38539988
PMCPMC10967455
OpenAlexW4392817089

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.