DuJiang Yang, Jiexiang Yang, Shuang Wang, GuoYou Wang
{"title":"Skin Autofluorescence as a Predictor of Bone Fragility in Type 1 Diabetes: A Critical Appraisal of the Evidence.","authors":"DuJiang Yang, Jiexiang Yang, Shuang Wang, GuoYou Wang","doi":"10.1002/dmrr.70099","DOIUrl":"https://doi.org/10.1002/dmrr.70099","url":null,"abstract":"<p><p>In their cross-sectional study, Brandt et al. propose skin autofluorescence (SAF) as a potential predictor of impaired bone quality in type one diabetes, a hypothesis of significant clinical interest. This letter provides a critical appraisal of this claim. While the biological rationale linking advanced glycation endproducts to bone matrix properties is sound, we argue that the study's cross-sectional design fundamentally limits its ability to establish predictive utility, as it can only demonstrate association, not causation or forecasting of future events. Furthermore, the modest improvement in the area under the curve lacks a demonstrated meaningful clinical impact, such as net reclassification improvement. The assumption that dermal SAF accurately reflects the skeletal advanced glycation endproduct pool remains unvalidated and may be confounded by systemic disease severity. We conclude that while the findings are hypothesis-generating, prospective longitudinal studies and direct tissue validation are imperative before SAF can be considered a validated clinical predictor.</p>","PeriodicalId":48934,"journal":{"name":"Diabetes-Metabolism Research and Reviews","volume":"41 7","pages":"e70099"},"PeriodicalIF":6.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic Kidney Disease in China: Addressing the Burden With Innovative Strategies and Global Insights.","authors":"Xiaoqiang Ding","doi":"10.1002/dmrr.70092","DOIUrl":"https://doi.org/10.1002/dmrr.70092","url":null,"abstract":"<p><p>Chronic kidney disease (CKD) is a major global public health concern, increasing end-stage renal disease (ESRD) prevalence and risks of cardiovascular events and mortality. Approximately 82 million adults in China are affected by CKD, with highly prevalent and poorly controlled comorbidities such as hypertension, diabetes, and dyslipidemia. Novel agents have been approved for clinical use in China such as non-steroidal mineralocorticoid receptor antagonists (nsMRAs) like finerenone and sodium-glucose cotransporter-2 inhibitors (SGLT2is) provide dual 'cardiorenal' protection, slowing kidney disease progression through anti-inflammatory or metabolic modulation. This special issue of China features five representative studies on key CKD questions, covering endothelial dysfunction mechanisms, early detection of tubular injury in diabetic kidney disease, real-world efficacy of finerenone, and clinical advances in multi-target therapies. These studies collectively underscore China's contributions to advancing CKD research and improving patient management globally.</p>","PeriodicalId":48934,"journal":{"name":"Diabetes-Metabolism Research and Reviews","volume":"41 7","pages":"e70092"},"PeriodicalIF":6.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Silvia Angelino, Antonietta Monda, Nicole Di Martino, Paola Caruso, Miriam Longo, Antonietta Maio, Mariluce Barrasso, Lorenzo Scappaticcio, Giuseppe Bellastella, Dario Giugliano, Katherine Esposito, Maria Ida Maiorino
{"title":"Exploring Insulin Resistance in Adults With Type 1 Diabetes: The Role of the Estimated Glucose Disposal Rate and the Triglyceride Glucose Index.","authors":"Silvia Angelino, Antonietta Monda, Nicole Di Martino, Paola Caruso, Miriam Longo, Antonietta Maio, Mariluce Barrasso, Lorenzo Scappaticcio, Giuseppe Bellastella, Dario Giugliano, Katherine Esposito, Maria Ida Maiorino","doi":"10.1002/dmrr.70100","DOIUrl":"https://doi.org/10.1002/dmrr.70100","url":null,"abstract":"<p><strong>Aims: </strong>People with type 1 diabetes (T1D) who exhibit insulin resistance present a high cardiovascular risk. Several markers, including the estimated Glucose Disposal Rate (eGDR) and Triglyceride-Glucose (TyG) index, have been developed for measuring insulin resistance. The debate on the most reliable surrogate estimator is still open. The aim was to assess the prevalence of insulin resistance by eGDR and TyG index in adults with T1D, describe the characteristics of the population according to insulin resistance, and investigate the association between these indices and glucose control.</p><p><strong>Materials and methods: </strong>This study involved adults with T1D of both sexes in stable insulin treatment for at least 6 months, whose data were collected at 1-year follow-up visit. Insulin resistance was based on eGDR < 8 and TyG index ≥ 4.68.</p><p><strong>Results: </strong>We included 687 adults with a median age of 29.0 years and diabetes duration of 18.0 years. Insulin resistance was found in 25.8% and 39.2% of the population based on the eGDR and TyG index, respectively. Compared with those without insulin resistance, insulin-resistant participants showed poorer glyco-metabolic parameters and required larger daily insulin dose; moreover, people with insulin resistance according to the TyG index needed higher daily insulin doses/kg. At logistic regression, we found significant association between glucose control (HbA1c ≤ 7%) and both eGDR (β = 1.143) and TyG index (β = -1.578).</p><p><strong>Conclusions: </strong>In adults with T1D, there was a significant prevalence of insulin resistance measured by the eGDR e TyG index, which was effective in identifying individuals who needed higher insulin doses/kg. Both indices correlated with glucose control.</p>","PeriodicalId":48934,"journal":{"name":"Diabetes-Metabolism Research and Reviews","volume":"41 7","pages":"e70100"},"PeriodicalIF":6.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145336697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Withdrawal: Letter to the Editor - responses to Weisntein D, Simon M, Yehezkel E, Laron Z, Werner H. Insulin analogues display IGF-I-like mitogenic and antiactivity in cultured cancer cells.","authors":"","doi":"10.1002/dmrr.2447","DOIUrl":"10.1002/dmrr.2447","url":null,"abstract":"","PeriodicalId":48934,"journal":{"name":"Diabetes-Metabolism Research and Reviews","volume":"41 4","pages":"e2447"},"PeriodicalIF":6.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Withdrawal: Screening for people with glucose metabolism disorders within the framework of the DEMOJUAN project (DEMOnstration area for primary prevention of type 2 diabetes, JUAN Mina and Barranquilla, Colombia).","authors":"","doi":"10.1002/dmrr.2462","DOIUrl":"10.1002/dmrr.2462","url":null,"abstract":"","PeriodicalId":48934,"journal":{"name":"Diabetes-Metabolism Research and Reviews","volume":"41 4","pages":"e2462"},"PeriodicalIF":8.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Withdrawal: Prevalence of type 2 diabetes in Argentina 1979-2012.","authors":"","doi":"10.1002/dmrr.2436","DOIUrl":"10.1002/dmrr.2436","url":null,"abstract":"","PeriodicalId":48934,"journal":{"name":"Diabetes-Metabolism Research and Reviews","volume":"41 4","pages":"e2436"},"PeriodicalIF":6.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Withdrawal: Can we prevent beta cell apoptosis in type 2 diabetes?","authors":"","doi":"10.1002/dmrr.2381","DOIUrl":"10.1002/dmrr.2381","url":null,"abstract":"","PeriodicalId":48934,"journal":{"name":"Diabetes-Metabolism Research and Reviews","volume":"41 4","pages":"e2381"},"PeriodicalIF":8.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Withdrawal: Type 2 Diabetes Mellitus and Alzheimer's Disease: from physiopathology to treatment implications.","authors":"","doi":"10.1002/dmrr.2442","DOIUrl":"10.1002/dmrr.2442","url":null,"abstract":"","PeriodicalId":48934,"journal":{"name":"Diabetes-Metabolism Research and Reviews","volume":"41 4","pages":"e2442"},"PeriodicalIF":6.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Withdrawal: Do we need continuous glucose monitoring in type 2 diabetes?","authors":"","doi":"10.1002/dmrr.2450","DOIUrl":"10.1002/dmrr.2450","url":null,"abstract":"","PeriodicalId":48934,"journal":{"name":"Diabetes-Metabolism Research and Reviews","volume":"41 4","pages":"e2450"},"PeriodicalIF":8.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zheng Yang, Subei Zhao, Yuhuan Lv, Linyu Xiang, Xiaoru Zhang, Zhengping Feng, Zhiping Liu, Rong Li
{"title":"A New Quantitative Neuropad for Early Diagnosis of Diabetic Peripheral Neuropathy.","authors":"Zheng Yang, Subei Zhao, Yuhuan Lv, Linyu Xiang, Xiaoru Zhang, Zhengping Feng, Zhiping Liu, Rong Li","doi":"10.1002/dmrr.70010","DOIUrl":"https://doi.org/10.1002/dmrr.70010","url":null,"abstract":"<p><strong>Aims: </strong>Diabetic peripheral neuropathy (DPN) often coexists with sudomotor dysfunction, resulting in an increased risk of diabetic foot. This study aimed to explore an efficient method for early diagnosis of DPN by establishing a quantitative Neuropad.</p><p><strong>Methods: </strong>We recruited 518 patients with type 2 diabetes. Neuropathy Symptoms Score (NSS) combined with Neuropathy Disability Score (NDS) was used to assess distal symmetrical peripheral neuropathy (DSPN). The area under the ROC curve (AUROC), sensitivity, and specificity were used to compare the diagnostic efficacy of quantitative Neuropad (the change rate of the chromatic aberration value per minute) and two types of visual Neuropad (visual Neuropad A: whether the time to complete colour change within 10 min, visual Neuropad B: the time to complete colour change) for DPN.</p><p><strong>Results: </strong>We did not observe very good diagnostic efficacy of Neuropad (visual Neuropad A and B: 0.59 and 0.64, quantitative Neuropad AUROC: 0.62-0.64) when using standard DSPN diagnostic criteria (NDS 6-12 or NDS 3-5 combined with NSS 5-9). When DPN was assessed by NSS + NDS ≥ 4, visual Neuropad B improved the specificity (AUROC 0.72, 67.00%, specificity 71.70%) by extending the detection time compared with visual Neuropad A (AUROC 0.62, sensitivity 81.80%, specificity 41.70%). Quantitative Neuropad significantly improved the diagnostic effect (AUROC 0.81, sensitivity 80.0%, specificity 76.3%) and reduced the detection time (4 min).</p><p><strong>Conclusions: </strong>This study provides a new quantitative Neuropad, which has great potential to be an extremely useful diagnostic tool for early screening of sudomotor dysfunction in the clinical practice.</p>","PeriodicalId":48934,"journal":{"name":"Diabetes-Metabolism Research and Reviews","volume":"40 8","pages":"e70010"},"PeriodicalIF":8.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}