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Record W3197311219 · doi:10.1111/dme.14669

Consensus report: Definition and interpretation of remission in type 2 diabetes

2021· article· en· W3197311219 on OpenAlexaff
Matthew C. Riddle, William T. Cefalu, Philip Evans, Hertzel C. Gerstein, Michael A. Nauck, William Oh, Amy E. Rothberg, Carel W. le Roux, Francesco Rubino, Philip R. Schauer, Roy Taylor, Douglas Twenefour

Bibliographic record

VenueDiabetic Medicine · 2021
Typearticle
Languageen
FieldMedicine
TopicDiabetes Treatment and Management
Canadian institutionsHamilton Health SciencesMcMaster UniversityPopulation Health Research Institute
Fundersnot available
KeywordsMedicineTerminologyPharmacotherapyDiabetes mellitusIntensive care medicineMEDLINEType 2 diabetesPsychological interventionFamily medicinePediatricsInternal medicinePsychiatryEndocrinology

Abstract

fetched live from OpenAlex

Improvement of glucose levels into the normal range can occur in some people living with diabetes, either spontaneously or after medical interventions, and in some cases can persist after withdrawal of glucose-lowering pharmacotherapy. Such sustained improvement may now be occurring more often due to newer forms of treatment. However, terminology for describing this process and objective measures for defining it are not well established, and the long-term risks versus benefits of its attainment are not well understood. To update prior discussions of this issue, an international expert group was convened by the American Diabetes Association to propose nomenclature and principles for data collection and analysis, with the goal of establishing a base of information to support future clinical guidance. This group proposed "remission" as the most appropriate descriptive term, and HbA1c <6.5% (48 mmol/mol) measured at least 3 months after cessation of glucose-lowering pharmacotherapy as the usual diagnostic criterion. The group also made suggestions for active observation of individuals experiencing a remission and discussed further questions and unmet needs regarding predictors and outcomes of remission.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.157
metaresearch head score (Gemma)0.178
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: none
Teacher disagreement score0.157
Threshold uncertainty score0.831

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.1570.178
Meta-epidemiology (narrow)0.0020.002
Meta-epidemiology (broad)0.0060.008
Bibliometrics0.0100.009
Science and technology studies0.0040.006
Scholarly communication0.0090.005
Open science0.0140.010
Research integrity0.0140.020
Insufficient payload (model declined to judge)0.0030.004

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.022
GPT teacher head0.276
Teacher spread0.254 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations28
Published2021
Admission routes1
Has abstractyes

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