Evidence mapPaperPMID 39688420Full record

Observational studyJournal of diabetes investigation2025

Association between early-stage diabetic nephropathy and the delayed monophasic glucose peak during oral glucose tolerance test in type 2 diabetes mellitus.

Han Zhang, Hanqing Tang, Yunjuan Gu, Zhuqi Tang, Xiaoqin Zhao, Ranran Zhou, Ping Huang, Rongping Zhang, Xinlei Wang

Abstract readObservational Study
In one paragraph

Observational study in Journal of diabetes investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

9 authors.

Han ZhangDepartment of Endocrinology and Metabolism, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.ORCID https://orcid.org/0009-0008-5736-8638
Hanqing TangDepartment of Endocrinology and Metabolism, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.ORCID https://orcid.org/0009-0006-6443-4504
Yunjuan GuDepartment of Endocrinology and Metabolism, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.
Zhuqi TangDepartment of Endocrinology and Metabolism, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.
Xiaoqin ZhaoDepartment of Endocrinology and Metabolism, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.
Ranran ZhouDepartment of Endocrinology and Metabolism, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.
Ping HuangDepartment of Endocrinology and Metabolism, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.
Rongping ZhangDepartment of Endocrinology and Metabolism, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.
Xinlei WangDepartment of Endocrinology and Metabolism, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.ORCID https://orcid.org/0000-0001-8658-223X

Funding

Chinese Association of Integrated Traditional and Western Medicine-Scientific Research Fund of He-Huang Pharmaceutical HMP2008007PJiangsu Provincial Research Hospital YJXYY202204-XKB09Jiangsu Provincial Six Talent Peaks for high-level talents 2016-WSN 098Nantong Municipal Science and Technology Project JC2019121Nantong Municipal Science and Technology Project JC2020046Nantong Municipal Science and Technology Project JC2020047Nantong Municipal Science and Technology Project MA2020024Nantong Municipal Science and Technology Project MS22019005Science and Technology Foundation of Nantong City JC2021120
6 · The paper itself

Abstract

aimsTo explore the relationships between the delayed monophasic glucose peak during oral glucose tolerance test (OGTT) and early-stage diabetic nephropathy (DN) in patients with type 2 diabetes mellitus(T2DM), and to speculate its potential as a risk factor for early-stage DN. MATERIALS AND

methodsThis retrospective observational study included 448 participants, all of whom underwent a 3-h OGTT. Based on peak glucose time, they were categorized into the normal glucose tolerance (NGT) group (n = 76), the early delayed group (n = 98), and the late delayed group (n = 274) for comparison. Furthermore, T2DM patients were subdivided into the non-DN group (n = 293) and the early-stage DN group (n = 79) for comparative analysis.

resultsWith the delay in glucose peak time, blood glucose levels increased, insulin secretion function and insulin sensitivity decreased. In logistic regression, ISSI-2 was independently associated with the delay in glucose peak time in patients with T2DM (OR 0.839; 95% CI 0.776-0.907; P < 0.001). Additionally, 2-h plasma glucose, OGIS, and AUC

conclusionsIn patients with T2DM, the delayed monophasic glucose peak during OGTT may be an early predictor of early-stage diabetes nephropathy, providing early intervention signals for our clinical work.

Indexed as

BiomarkersBlood GlucoseDiabetes Mellitus, Type 2Diabetic NephropathiesAgedFemaleFollow-Up StudiesGlucose Tolerance TestHumansInsulin ResistanceMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsBiomarkersBlood GlucoseEarly‐stage diabetic nephropathyMonophasic glucose peakOral glucose tolerance test

Identifiers

PMID39688420
PMCPMC11786176

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.