{"id":"W4361197472","doi":"10.1530/edm-22-0413","title":"First report of type 2 diabetes mellitus in an adult with 3-hydroxy-3-methylglutaryl coenzyme A lyase deficiency","year":2023,"lang":"en","type":"article","venue":"Endocrinology Diabetes and Metabolism Case Reports","topic":"Metabolism and Genetic Disorders","field":"Biochemistry, Genetics and Molecular Biology","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Alberta","funders":"","keywords":"Hyperammonemia; Ketogenesis; Internal medicine; Endocrinology; Hypoglycemia; Medicine; Type 2 Diabetes Mellitus; Ketosis; NPH insulin; Metabolic acidosis; Diabetes mellitus; Ketone bodies; Metabolism; Insulin glargine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.0004199801,0.0003493149,0.0006327123,0.0002947215,0.000113098,0.00002256848,0.0001077139,0.0001795123,0.00002237764],"category_scores_gemma":[0.0003588322,0.0003004578,0.00009074618,0.0005718891,0.0003519657,0.00001985375,0.0001737035,0.0001529973,0.000002802725],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.000003018118,"about_ca_system_score_gemma":0.0001213055,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001765098,"about_ca_topic_score_gemma":0.0004324342,"domain_scores_codex":[0.9972084,0.0001047911,0.0007331516,0.0009085055,0.0002116491,0.0008334565],"domain_scores_gemma":[0.9982871,0.00004394819,0.0003458017,0.0008941005,0.0002223255,0.0002067622],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0001957009,0.0009181903,0.7638198,0.0005822944,0.0004893054,0.09337973,0.001038908,0.001650305,0.1107495,0.001297777,0.00182551,0.02405291],"study_design_scores_gemma":[0.00681276,0.00248442,0.4375213,0.0002103783,0.001173147,0.05186383,0.002727212,0.001464931,0.3078861,0.003058745,0.181405,0.003392163],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9775309,0.02132117,0.00001476629,0.0001197849,0.0004357999,0.0003494509,0.00002794078,0.00004232579,0.0001578516],"genre_scores_gemma":[0.9948845,0.00380128,0.0006304655,0.0001352056,0.0001106616,0.00008427769,0.0002274567,0.00004000644,0.0000861303],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.3262985,"threshold_uncertainty_score":0.9999447,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.007299225728111511,"score_gpt":0.2381354295475011,"score_spread":0.2308362038193896,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}