Evidence map›Paper›PMID 41958866›Full record

ArticleJournal of the Endocrine Society2026

A worldwide perspective on clinical characteristics and treatment of youth with monogenic diabetes in the SWEET registry.

Lily Deng, Stefanie Lanzinger, Kristina Casteels, Fred Cavallo, Luisa De Sanctis, Ana Laura Fitas, Carol Huang, Jaehyun Kim, Konstantina Patouni, Stepanka Pruhova and 3 more

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Lily DengDivision of Endocrinology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA.ORCID https://orcid.org/0009-0005-7313-0812
Stefanie LanzingerInstitute of Epidemiology and Medical Biometry, CAQM, Ulm University, Ulm, Germany.ORCID https://orcid.org/0000-0002-3789-6459
Kristina CasteelsDepartment of Pediatrics, University Hospitals Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0001-9690-3551
Fred CavalloHospital Nacional de Niños, San José, Costa Rica.
Luisa De SanctisPediatric Endocrinology, Regina Margherita Children Hospital-Department of Public Health and Pediatric Sciences, University of Turin, Turin, Italy.
Ana Laura FitasDepartment of Pediatric Endocrinology, Hospital Dona Estefânia, Lisboa, Portugal.
Carol HuangDepartment of Pediatrics and Biochemistry and Molecular Biology, University of Calgary, Calgary T2N 1N4, Canada.
Jaehyun KimDepartment of Pediatrics, Seoul National University Bundang Hospital, Seongnam, South Korea.
Konstantina PatouniDiabetes Center, First Department of Paediatrics, "P&A Kyriakou" Children's Hospital, Athens, Greece.
Stepanka PruhovaDepartment of Pediatrics, Second Faculty of Medicine, Charles University in Prague and Motol University Hospital, Prague, Czech Republic.
Craig E TaplinDepartment of Endocrinology and Diabetes, Perth Children's Hospital, Perth 6009, Australia.
Martin TauschmannDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
Mansa KrishnamurthyDivision of Endocrinology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA.ORCID https://orcid.org/0000-0001-8178-0886

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: To characterize youth with monogenic diabetes worldwide in the SWEET database and define trends in clinical care and outcomes. Methods: Youth with monogenic diabetes between the ages of 0 and 21 years from 44 worldwide centers in the SWEET registry divided into global regions were studied in this retrospective analysis. This included 690 youth with data at diabetes diagnosis and/or follow-up at 1 year and 214 patients with data at both time points. Demographics, comorbidities, and treatments were evaluated. Results: Globally, mean age and hemoglobin A1c (HbA1c) at diagnosis were 10.1 years (SD 4.57 years) and 6.9% (52 mmol/mol) (SD 1.7%, 18 mmol/mol), respectively. At 1-year follow-up, mean HbA1c decreased by 0.4%. Average body mass index (BMI) at diabetes diagnosis was in the normal range (World Health Organization BMI SD score 0.31). At diabetes diagnosis, 3.6% presented in diabetic ketoacidosis (DKA). Seven percent were treated with oral antidiabetes medications or glucagon-like peptide-1 receptor agonists at diabetes diagnosis, increasing to 15.3% at follow-up. Overall, treatment with insulin increased by 10% at follow-up. Conclusion: Worldwide, patients with monogenic diabetes typically present during late childhood/early adolescence with mild elevation in HbA1c, normal BMI, and lack of DKA. Regional differences in demographics and treatment modalities highlight heterogeneity in presentation and management of monogenic diabetes, impacting clinical care.

Indexed as

genetic diabetesglobal diabetes trendsmaturity-onset diabetes of the youngMODYMODY comorbiditiesMODY treatmentmonogenic diabetes

Identifiers

PMID41958866
PMCPMC13058832

What Socratic holds

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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.