Evidence map›Paper›PMID 39860426›Full record

ReviewJournal of clinical medicine2025

Autoimmune Type 1 Diabetes: An Early Approach Appraisal for Spain by the AGORA Diabetes Collaborative Group.

Fernando Gómez-Peralta, Pedro J Pinés-Corrales, Estefanía Santos, Martín Cuesta, Olga González-Albarrán, Sharona Azriel, Luis Castaño, Chantal Mathieu, On Behalf Of The Agora Diabetes Collaborative Group

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
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.

Fernando Gómez-PeraltaEndocrinology and Nutrition Unit, Hospital General de Segovia, 40002 Segovia, Spain.ORCID 0000-0003-0106-0091
Pedro J Pinés-CorralesEndocrinology and Nutrition Service, Complejo Hospitalario Universitario de Albacete, 02008 Albacete, Spain.
Estefanía SantosEndocrinology and Nutrition Service, Complejo Hospitalario de Burgos, 09006 Burgos, Spain.ORCID 0000-0002-1194-7422
Martín CuestaEndocrinology and Nutrition Service, Hospital Clínico San Carlos, 28040 Madrid, Spain.
Olga González-AlbarránEndocrinology and Nutrition Service, Hospital Gregorio Marañón, 28007 Madrid, Spain.
Sharona AzrielEndocrinology and Nutrition Service, Hospital Universitario Infanta Sofía, 28702 San Sebastián De Los Reyes, Spain.ORCID 0000-0002-9405-6333
Luis CastañoBiobizkaia Health Research Institute, Pediatric Endocrinology Department, Cruces University Hospital, UPU/EHU, Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Endo-ERN, 48903 Barakaldo, Spain.
Chantal MathieuClinical and Experimental Endocrinology, Department of Chronic Diseases and Metabolism (CHROMETA), KU Leuven, 3000 Leuven, Belgium.
On Behalf Of The Agora Diabetes Collaborative Group

Funding

Sanofi NA
6 · The paper itself

Abstract

Type 1 diabetes (T1D) is an autoimmune disorder characterized by the destruction of insulin-producing pancreatic beta-cells, leading to lifelong insulin dependence. This review explores the current understanding of T1D pathogenesis, clinical progression, and emerging therapeutic approaches. We examined the complex interplay between genetic predisposition and environmental factors that could trigger the autoimmune response as well as the immunological mechanisms involved in beta-cell destruction. The clinical phases of T1D are discussed from the preclinical stage through diagnosis and long-term management, highlighting the importance of early detection and intervention. Recent advancements in treatment strategies are presented, including immunomodulatory therapies and potential cell-based treatments aimed at preserving or restoring beta-cell function. Additionally, this review critically evaluates the feasibility and potential benefits of implementing a population-wide screening program for T1D in Spain. The epidemiological, economic, and ethical implications of such an initiative were considered by the national expert panel, focusing on the potential of early diagnosis to improve clinical outcomes in the face of the challenges of large-scale implementation. This comprehensive analysis aims to provide healthcare professionals, researchers, and policymakers with valuable insights into the current landscape of T1D management and prospects for enhanced prevention and treatment strategies in the Spanish context.

Indexed as

autoimmune diabetesdisease stagespathogenesispediatric populationpreventionscreeningSpaintype 1 diabetes

Identifiers

PMID39860426
PMCPMC11766439

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.