Evidence mapPaperPMID 41023486Full record

Trial reportNature medicine2025

Prevention of type 2 diabetes through prediabetes remission without weight loss.

Arvid Sandforth, Elsa Vazquez Arreola, Robert L Hanson, Nicolai J Wewer Albrechtsen, Jens Juul Holst, Robert Ahrends, Cristina Coman, Felicia Gerst, Estela Lorza-Gil, Yurong Cheng and 33 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Trial
  2. Cancer prevention through metabolic remission.Nature reviews. Endocrinology · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. [Prevention and precautions in the treatment of diabetes].Innere Medizin (Heidelberg, Germany) · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. 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

43 authors.

Arvid SandforthGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0009-0009-5374-1260
Elsa Vazquez ArreolaPhoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, AZ, USA.ORCID http://orcid.org/0000-0003-1960-1159
Robert L HansonPhoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, AZ, USA.
Nicolai J Wewer AlbrechtsenDepartment of Clinical Biochemistry, Copenhagen University Hospital-Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-4230-5753
Jens Juul HolstThe NovoNordisk Foundation Center for Basic Metabolic Research and the Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-6853-3805
Robert AhrendsDepartment for Analytical Chemistry, University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-0232-3375
Cristina ComanDepartment for Analytical Chemistry, University of Vienna, Vienna, Austria.
Felicia GerstGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Estela Lorza-GilGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Yurong ChengGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Leontine SandforthGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Sarah KatzensteinGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Marlene GanslmeierGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Jochen SeisslerGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Hans HaunerGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Nikolaos PerakakisGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Robert WagnerGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Jürgen MachannGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0002-4458-5886
Fritz SchickGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0002-4231-3406
Andreas PeterGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0001-5732-2287
Rainer LehmannGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0003-1218-6810
Cora WeigertGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Jennifer MaurerGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Hubert PreisslGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0002-8859-4661
Martin HeniGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0002-8462-3832
Julia SzendrödiGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Stefan KopfGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Michele SolimenaGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0002-3653-8107
Peter SchwarzGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Matthias BlüherGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0003-0208-2065
Hans-Ulrich HäringGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Martin Hrabé de AngelisGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0002-7898-2353
Annette SchürmannGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0002-4113-4377
Stefan KabischGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Knut MaiGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Andreas F H PfeifferGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Stefan BornsteinGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0002-5211-2536
Michael StumvollGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Michael RodenGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0001-8200-6382
Norbert StefanGerman Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0002-2186-9595
Andreas FritscheGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Andreas L Birkenfeld *German Center for Diabetes Research (DZD), Neuherberg, Germany. andreas.birkenfeld@med.uni-tuebingen.de.ORCID http://orcid.org/0000-0003-1407-9023
Reiner Jumpertz von Schwartzenberg *German Center for Diabetes Research (DZD), Neuherberg, Germany.ORCID http://orcid.org/0000-0002-5544-099X

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) EXC 2124 - 03.007Helmholtz Association VH-NG-1619
6 · The paper itself

Abstract

Clinical practice guidelines recommend defined weight loss goals for the prevention of type 2 diabetes (T2D) in those individuals with increased risk, such as prediabetes. However, achieving prediabetes remission, that is, reaching normal glucose regulation according to American Diabetes Association criteria, is more efficient in preventing T2D than solely reaching weight loss goals. Here we present a post hoc analysis of the large, multicenter, randomized, controlled Prediabetes Lifestyle Intervention Study (PLIS), demonstrating that prediabetes remission is achievable without weight loss or even weight gain, and that it also protects against incident T2D. The underlying mechanisms include improved insulin sensitivity, β-cell function and increments in β-cell-GLP-1 sensitivity. Weight gain was similar in those achieving prediabetes remission (responders) compared with nonresponders; however, adipose tissue was differentially redistributed in responders and nonresponders when compared against each other-while nonresponders increased visceral adipose tissue mass, responders increased adipose tissue in subcutaneous depots. The findings were reproduced in the US Diabetes Prevention Program. These data uncover essential pathways for prediabetes remission without weight loss and emphasize the need to include glycemic targets in current clinical practice guidelines to improve T2D prevention.

Indexed as

Diabetes Mellitus, Type 2Prediabetic StateWeight LossAdultBlood GlucoseFemaleHumansInsulin ResistanceInsulin-Secreting CellsLife StyleMaleMiddle AgedRemission InductionBlood Glucose

Identifiers

PMID41023486
PMCPMC12532634

What Socratic holds

Textmetadata
LicenceCC BY
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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.