Evidence map›Paper›PMID 39168869›Full record

ArticleDiabetologia2024

Machine learning-based reproducible prediction of type 2 diabetes subtypes.

Hayato Tanabe, Masahiro Sato, Akimitsu Miyake, Yoshinori Shimajiri, Takafumi Ojima, Akira Narita, Haruka Saito, Kenichi Tanaka, Hiroaki Masuzaki, Junichiro J Kazama and 4 more

Abstract read
In one paragraph

Article in Diabetologia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

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

14 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Identification of Patient Clusters with Distinct Disease Progression Patterns Utilizing a Nationwide Finnish Population with Type 2 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Observational
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

14 authors.

Hayato TanabeDepartment of Diabetes, Endocrinology, and Metabolism, Fukushima Medical University School of Medicine, Fukushima, Japan.ORCID http://orcid.org/0000-0003-4576-8032
Masahiro SatoDepartment of Diabetes, Endocrinology, and Metabolism, Fukushima Medical University School of Medicine, Fukushima, Japan.
Akimitsu MiyakeDepartment of AI and Innovative Medicine, Tohoku University School of Medicine, Miyagi, Japan.ORCID http://orcid.org/0000-0001-8509-1412
Yoshinori ShimajiriShimajiri Kinsermae Diabetes Care Clinic, Okinawa, Japan.
Takafumi OjimaDepartment of AI and Innovative Medicine, Tohoku University School of Medicine, Miyagi, Japan.ORCID http://orcid.org/0000-0003-1197-0574
Akira NaritaTohoku Medical Megabank Organization, Tohoku University, Miyagi, Japan.ORCID http://orcid.org/0000-0002-9076-0710
Haruka SaitoDepartment of Diabetes, Endocrinology, and Metabolism, Fukushima Medical University School of Medicine, Fukushima, Japan.
Kenichi TanakaDepartment of Nephrology and Hypertension, Fukushima Medical University School of Medicine, Fukushima, Japan.ORCID http://orcid.org/0000-0003-4655-9355
Hiroaki MasuzakiDivision of Endocrinology and Metabolism, Second Department of Internal Medicine, University of the Ryukyus Graduate School of Medicine, Okinawa, Japan.ORCID http://orcid.org/0000-0002-2445-1047
Junichiro J KazamaDepartment of Nephrology and Hypertension, Fukushima Medical University School of Medicine, Fukushima, Japan.ORCID http://orcid.org/0000-0001-7710-2660
Hideki KatagiriDepartment of Diabetes, Metabolism and Endocrinology, Tohoku University Graduate School of Medicine, Miyagi, Japan.ORCID http://orcid.org/0000-0003-1093-3704
Gen TamiyaDepartment of AI and Innovative Medicine, Tohoku University School of Medicine, Miyagi, Japan.ORCID http://orcid.org/0000-0002-0597-415X
Eiryo KawakamiDepartment of Artificial Intelligence Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan. eiryo.kawakami@chiba-u.jp.ORCID http://orcid.org/0000-0001-9955-4342
Michio ShimabukuroDepartment of Diabetes, Endocrinology, and Metabolism, Fukushima Medical University School of Medicine, Fukushima, Japan. mshimabukuro-ur@umin.ac.jp.ORCID http://orcid.org/0000-0001-7835-7665

Funding

Japan Science and Technology Agency (JST) grant number JPMJPF2301 to EKJapan Science and Technology Agency (JST) Moonshot R&D Program grant number JPMJMS2023 to HKJapan Society for the Promotion of Science (JPSP) 22K11729 to MSJapan Society for the Promotion of Science (JPSP) grant numbers 23K15397 to HT
6 · The paper itself

Abstract

aims/hypothesisClustering-based subclassification of type 2 diabetes, which reflects pathophysiology and genetic predisposition, is a promising approach for providing personalised and effective therapeutic strategies. Ahlqvist's classification is currently the most vigorously validated method because of its superior ability to predict diabetes complications but it does not have strong consistency over time and requires HOMA2 indices, which are not routinely available in clinical practice and standard cohort studies. We developed a machine learning (ML) model to classify individuals with type 2 diabetes into Ahlqvist's subtypes consistently over time.

methodsCohort 1 dataset comprised 619 Japanese individuals with type 2 diabetes who were divided into training and test sets for ML models in a 7:3 ratio. Cohort 2 dataset, comprising 597 individuals with type 2 diabetes, was used for external validation. Participants were pre-labelled (T2D

resultsT2D CONCLUSIONS/

interpretationThe new ML model for predicting Ahlqvist's subtypes of type 2 diabetes has great potential for application in clinical practice and cohort studies because it can classify individuals with missing HOMA2 indices and predict glycaemic control, diabetic complications and treatment outcomes with long-term consistency by using readily available variables. Future studies are needed to assess whether our approach is applicable to research and/or clinical practice in multiethnic populations.

Indexed as

Diabetes Mellitus, Type 2Machine LearningAgedCohort StudiesFemaleGlycated HemoglobinHumansInsulin ResistanceMaleMiddle AgedGlycated HemoglobinClusteringDiabetes subtypesMachine learningRandom forestType 2 diabetes

Identifiers

PMID39168869
PMCPMC11519166

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.