Evidence mapPaperPMID 38912694Full record

ArticleDiabetes care2024

Consensus Guidance for Monitoring Individuals With Islet Autoantibody-Positive Pre-Stage 3 Type 1 Diabetes.

Moshe Phillip, Peter Achenbach, Ananta Addala, Anastasia Albanese-O'Neill, Tadej Battelino, Kirstine J Bell, Rachel E J Besser, Ezio Bonifacio, Helen M Colhoun, Jennifer J Couper and 56 more

Erratum issuedAbstract readConsensus Statement
In one paragraph

Article in Diabetes care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 78 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 6 pooled it
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

78 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Impact of screening programmes for type 1 diabetes in youth: A systematic review and meta-analysis.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Pooled it
  3. Guideline
  4. Guideline
  5. Pooled it
  6. Guideline
  7. Trial
  8. Article
  9. Article
  10. Observational
  11. Observational
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

66 authors.

Moshe PhillipInstitute for Endocrinology and Diabetes, National Center for Childhood Diabetes, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.ORCID 0000-0002-6616-5612
Peter AchenbachInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich-Neuherberg, Germany.ORCID 0000-0001-6720-2684
Ananta AddalaDivision of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0002-0508-4309
Anastasia Albanese-O'NeillBreakthrough T1D, Gainesville, FL.ORCID 0000-0001-8219-6059
Tadej BattelinoFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.ORCID 0000-0002-0273-4732
Kirstine J BellCharles Perkins Centre and Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-5638-4048
Rachel E J BesserJDRF/Wellcome Diabetes and Inflammation Laboratory, Wellcome Centre Human Genetics, Nuffield Department of Medicine Oxford National Institute for Health and Care Research Biomedical Research Centre, University of Oxford, Oxford, U.K.ORCID 0000-0002-4645-6324
Ezio BonifacioCenter for Regenerative Therapies Dresden, Faculty of Medicine, Technical University of Dresden, Dresden, Germany.ORCID 0000-0002-8704-4713
Helen M ColhounThe Institute of Genetics and Cancer, University of Edinburgh, Edinburgh, U.K.ORCID 0000-0002-8345-3288
Jennifer J CouperRobinson Research Institute, The University of Adelaide, Adelaide, South Australia, Australia.ORCID 0000-0003-4448-8629
Maria E CraigCharles Perkins Centre and Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-6004-576X
Thomas DanneBreakthrough T1D, Lisbon.ORCID 0000-0003-0773-6961
Carine de BeaufortInternational Society for Pediatric and Adolescent Diabetes (ISPAD), Berlin, Germany.ORCID 0000-0003-4310-6799
Klemen DovcFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.ORCID 0000-0001-9201-2145
Kimberly A DriscollDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO.ORCID 0000-0002-3006-4633
Sanjoy DuttaBreakthrough T1D, New York, NY.ORCID 0000-0001-8117-1677
Osagie EbekozienT1D Exchange, Boston, MA.ORCID 0000-0002-8473-249X
Helena Elding LarssonDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.ORCID 0000-0003-3306-1742
Daniel J FeitenChildren's Diabetes Foundation, Aurora, CO.ORCID 0000-0005-9922-7305
Brigitte I FrohnertDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO.
Robert A GabbayAmerican Diabetes Association, Arlington, VA.ORCID 0000-0003-3541-1486
Mary P GallagherNYU Langone Medical Center, New York, NY.ORCID 0000-0002-5844-2309
Carla J GreenbaumCenter for Interventional Immunology and Diabetes Program, Benaroya Research Institute, Seattle, WA.ORCID 0000-0003-4451-9800
Kurt J GriffinSanford Research, Sioux Falls, SD.ORCID 0000-0003-2374-0733
William HagopianPacific Northwest Diabetes Research Institute, University of Washington, Seattle, WA.
Michael J HallerDepartment of Pediatrics, University of Florida Diabetes Institute, Gainesville, FL.ORCID 0000-0000-2803-1824
Christel HendrieckxSchool of Psychology, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0002-0075-828X
Emile HendriksDepartment of Paediatrics, University of Cambridge and Cambridge University Hospitals NHS Foundation Trust, Cambridge, U.K.ORCID 0000-0002-0795-1832
Richard I G HoltHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, U.K.ORCID 0000-0001-8911-6744
Lucille HughesMount Sinai South Nassau, Oceanside, NY.
Heba M IsmailDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.ORCID 0000-0003-0102-0030
Laura M JacobsenDivision of Endocrinology, University of Florida College of Medicine, Gainesville, FL.ORCID 0000-0002-5144-7836
Suzanne B JohnsonDepartment of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FL.ORCID 0000-0001-5721-7524
Leslie E KolbAssociation of Diabetes Care & Education Specialists, Chicago, IL.ORCID 0000-0003-2803-6788
Olga KordonouriBreakthrough T1D, Lisbon.ORCID 0000-0001-9563-3537
Karin LangeMedical Psychology, Hannover Medical School, Hannover, Germany.ORCID 0000-0002-3636-2025
Robert W LashEndocrine Society, Washington, DC.ORCID 0000-0003-2457-4888
Åke LernmarkDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.ORCID 0000-0003-1735-0499
Ingrid LibmanDivision of Pediatric Endocrinology and Diabetes, University of Pittsburgh, University of Pittsburgh Medical Center Children's Hospital of Pittsburgh, PA.ORCID 0000-0002-0255-4555
Markus LundgrenDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.ORCID 0000-0001-6394-7689
David M MaahsDivision of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0002-4602-7909
M Loredana MarcovecchioDepartment of Pediatrics, Cambridge University Hospitals NHS Foundation Trust, Cambridge, U.K.ORCID 0000-0002-4415-316X
Chantal MathieuDepartment of Endocrinology, UZ Gasthuisberg, KU Leuven, Leuven, Belgium.ORCID 0000-0002-4055-5233
Kellee M MillerT1D Exchange, Boston, MA.
Holly K O'DonnellDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO.ORCID 0000-0002-7774-7220
Tal OronInstitute for Endocrinology and Diabetes, National Center for Childhood Diabetes, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.ORCID 0000-0001-9485-2738
Shivajirao P PatilDepartment of Family Medicine, Brody School of Medicine, East Carolina University, Greenville, NC.ORCID 0000-0001-9781-4809
Rodica Pop-BusuiDepartment of Internal Medicine, Division of Metabolism, Endocrinology and Diabetes, University of Michigan, Ann Arbor, MI.ORCID 0000-0002-2042-1350
Marian J RewersDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO.ORCID 0000-0003-3829-9207
Stephen S RichCenter for Public Health Genomics, University of Virginia, Charlottesville, VA.ORCID 0000-0003-3872-7793
Desmond A SchatzDepartment of Pediatrics, University of Florida, Gainesville, FL.ORCID 0000-0002-1044-5762
Rifka Schulman-RosenbaumDivision of Endocrinology, Long Island Jewish Medical Center, Northwell Health, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY.ORCID 0000-0003-4604-0879
Kimber M SimmonsDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO.ORCID 0000-0003-0560-5773
Emily K SimsDivision of Pediatric Endocrinology and Diabetology, Herman B Wells Center for Pediatric Research, Center for Diabetes and Metabolic Diseases, Indiana University School of Medicine, Indianapolis, IN.ORCID 0000-0002-4393-954X
Jay S SkylerDiabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL.ORCID 0000-0003-1136-8110
Laura B SmithCincinnati Children's Hospital Medical Center, Cincinnati, OH.ORCID 0000-0002-3722-7490
Cate SpeakeCenter for Interventional Immunology and Diabetes Program, Benaroya Research Institute, Seattle, WA.ORCID 0000-0003-1480-4272
Andrea K SteckDepartment of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO.ORCID 0000-0002-5931-9484
Nicholas P B ThomasNational Institute of Health and Care Research Clinical Research Network Thames Valley and South Midlands, Oxford, U.K.ORCID 0000-0003-0460-6870
Ksenia N TonyushkinaDivision of Endocrinology and Diabetes, Baystate Children's Hospital and University of Massachusetts Chan Medical School-Baystate, Springfield, MA.ORCID 0000-0002-6415-8005
Riitta VeijolaResearch Unit of Clinical Medicine, Department of Pediatrics, Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland.ORCID 0000-0002-6557-270X
John M WentworthThe Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.ORCID 0000-0002-5197-3529
Diane K WherrettDepartment of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-0629-5316
Jamie R WoodDepartment of Pediatric Endocrinology, Rainbow Babies and Children's Hospital, University Hospitals Cleveland Medical Center, Cleveland, OH.
Anette-Gabriele ZieglerInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich-Neuherberg, Germany.ORCID 0000-0002-6290-5548
Linda A DiMeglioMount Sinai South Nassau, Oceanside, NY.ORCID 0000-0002-8033-6078

Funding

NIDDK Diabetic Foot Consortium Clinical Research UnitU01DK119083 · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2025 to 2025
$727k
NIDDK NIH HHS U01 DK119083
6 · The paper itself

Abstract

Given the proven benefits of screening to reduce diabetic ketoacidosis (DKA) likelihood at the time of stage 3 type 1 diabetes diagnosis, and emerging availability of therapy to delay disease progression, type 1 diabetes screening programs are being increasingly emphasized. Once broadly implemented, screening initiatives will identify significant numbers of islet autoantibody-positive (IAb+) children and adults who are at risk for (confirmed single IAb+) or living with (multiple IAb+) early-stage (stage 1 and stage 2) type 1 diabetes. These individuals will need monitoring for disease progression; much of this care will happen in nonspecialized settings. To inform this monitoring, JDRF, in conjunction with international experts and societies, developed consensus guidance. Broad advice from this guidance includes the following: 1) partnerships should be fostered between endocrinologists and primary care providers to care for people who are IAb+; 2) when people who are IAb+ are initially identified, there is a need for confirmation using a second sample; 3) single IAb+ individuals are at lower risk of progression than multiple IAb+ individuals; 4) individuals with early-stage type 1 diabetes should have periodic medical monitoring, including regular assessments of glucose levels, regular education about symptoms of diabetes and DKA, and psychosocial support; 5) interested people with stage 2 type 1 diabetes should be offered trial participation or approved therapies; and 6) all health professionals involved in monitoring and care of individuals with type 1 diabetes have a responsibility to provide education. The guidance also emphasizes significant unmet needs for further research on early-stage type 1 diabetes to increase the rigor of future recommendations and inform clinical care.

Indexed as

AutoantibodiesDiabetes Mellitus, Type 1HumansIslets of LangerhansAutoantibodies

Identifiers

PMID38912694
PMCPMC11381572

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.