Evidence mapPaperPMID 38987291Full record

Observational studyNutrition & diabetes2024

A mixed meal tolerance test predicts onset of type 2 diabetes in Southwestern Indigenous adults.

Cassie M Mitchell, Emma J Stinson, Douglas C Chang, Jonathan Krakoff

2 registry-linked trialsAbstract readObservational Study
In one paragraph

Observational study in Nutrition & diabetes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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.

NCT00339482 completednot on this map

Prospective Studies of Diabetes Mellitus and Its Complications in the Gila River Indian Community

TypeobservationalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran1976Enrolled12,647ConditionsDiabetes Mellitus, Type 2
NCT00340132 completednot on this map

Cross-Sectional and Longitudinal Studies of 'Pre-Diabetes'

TypeobservationalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran1983Enrolled1,759ConditionsWeight Gain, Overweight, Insulin Resistance, Obesity
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Cassie M Mitchell *Obesity and Diabetes Clinical Research Section, Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, AZ, USA. cassie-mitchell@ouhsc.edu.ORCID http://orcid.org/0000-0002-6988-3900
Emma J Stinson *Obesity and Diabetes Clinical Research Section, Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, AZ, USA.ORCID http://orcid.org/0000-0003-4875-7048
Douglas C ChangObesity and Diabetes Clinical Research Section, Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, AZ, USA.
Jonathan KrakoffObesity and Diabetes Clinical Research Section, Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, AZ, USA.ORCID http://orcid.org/0000-0001-6074-5600

Funding

Risk Factors and Etiology of Obesity and Type 2 DiabetesZIADK069015 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI KRAKOFF, JONATHAN · 2009 to 2025
$4.2M
NIDDK NIH HHS
6 · The paper itself

Abstract

BACKGROUND/

objectiveTo identify predictors of incident type 2 diabetes using a mixed meal tolerance test (MMTT).

methodsAdult Indigenous Americans without diabetes (n = 501) from a longitudinal cohort underwent at baseline a 4-h MMTT, measures of body composition, an oral glucose tolerance test, an intravenous glucose tolerance test for acute insulin response (AIR), and a hyperinsulinemic-euglycemic clamp for insulin action (M). Plasma glucose responses from the MMTT were quantified by the total and incremental area under the curve (AUC/iAUC).

resultsAt follow-up (median time 9.6 [inter-quartile range: 5.6-13.5] years), 169 participants were diagnosed with diabetes. Unadjusted Cox proportional hazards models, glucose AUC

conclusionsGlucose responses to a mixed meal predicted the development of type 2 diabetes. This indicates that a mixed nutritional challenge provides important information on disease risk. CLINICAL TRIAL REGISTRY: ClinicalTrials.gov identifier : NCT00340132, NCT00339482.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 2Glucose Tolerance TestMealsAdultFemaleGlucose Clamp TechniqueHumansIndians, North AmericanInsulinLongitudinal StudiesMaleMiddle AgedProportional Hazards ModelsBlood GlucoseInsulin

Identifiers

PMID38987291
PMCPMC11237083

What Socratic holds

Textmetadata
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.