Evidence map›Paper›PMID 39235140›Full record

ReviewDiabetic medicine : a journal of the British Diabetic Association2025

Lessons learned from the FinnDiane Study: Epidemiology and metabolic risk factors for diabetic kidney disease in type 1 diabetes.

Fanny Jansson Sigfrids, Raija Lithovius, Per-Henrik Groop, Lena M Thorn

Abstract readReview
In one paragraph

Review in Diabetic medicine : a journal of the British Diabetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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

4 authors.

Fanny Jansson SigfridsFolkhälsan Research Center, Helsinki, Finland.ORCID https://orcid.org/0000-0002-1192-348X
Raija LithoviusFolkhälsan Research Center, Helsinki, Finland.ORCID https://orcid.org/0000-0001-7313-4710
Per-Henrik GroopFolkhälsan Research Center, Helsinki, Finland.ORCID https://orcid.org/0000-0003-4055-6954
Lena M ThornFolkhälsan Research Center, Helsinki, Finland.ORCID https://orcid.org/0000-0003-3999-0390

Funding

DiabetestutkimussäätiöFinska LäkaresällskapetFolkhälsanin TutkimussäätiöLiv och Hälsa SocietySigrid Juséliuksen SäätiöState funding for university-level health research by Helsinki University HospitalWilhelm och Else Stockmanns Stiftelse
6 · The paper itself

Abstract

aimsAcross its operational span of more than 25 years, the observational, nationwide, multicentre Finnish Diabetic Nephropathy (FinnDiane) Study has aimed to unravel mechanisms underlying diabetic kidney disease, with a special focus on its metabolic risk factors. We sought to compile key findings relating to this topic and to offer a current perspective on the natural course of diabetic kidney disease among individuals with type 1 diabetes.

methodsIn this narrative review, articles relevant to the subject published by the FinnDiane Study were identified and summarized together with work published by others, when relevant.

resultsThe FinnDiane Study has underscored the significance of dysglycaemia and insulin resistance, increased visceral fat mass, hypertension and dyslipidaemia-particularly high triglycerides and remnant cholesterol-as risk factors for diabetic kidney disease. Factors like abdominal obesity seem to influence the early stages of the disease, while the presence of the metabolic syndrome becomes implicated at later stages. Epidemiological reports have revealed that after an initial decline, the cumulative incidence of albuminuria plateaued post-1980s, with the progression rate to kidney failure remaining high. Fortunately, 23% of the FinnDiane cohort regressed to less advanced stages of albuminuria, improving their overall prognosis.

conclusionA substantial burden of albuminuria associated with type 1 diabetes persists, and therefore, novel kidney-protecting therapies are highly awaited. In addition, given that metabolic factors influence the progression of diabetic kidney disease both in its early and advanced stages, emphasis should be placed on ensuring that their treatment targets are met.

Indexed as

Diabetes Mellitus, Type 1Diabetic NephropathiesMetabolic SyndromeAlbuminuriaDisease ProgressionDyslipidemiasFinlandHumansInsulin ResistanceRisk Factorsalbuminuriadiabetic kidney diseasedyslipidaemiahypertensioninsulin resistancemetabolic syndrometype 1 diabetes

Identifiers

PMID39235140
PMCPMC11733665

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.