Cited by 245Diabetes, Cardiovascular Risks, and LipoproteinsPancreatic function and diabetesDiet, Metabolism, and Disease

Measuring and estimating insulin resistance in clinical and research settings

Open access
Gastaldelli, Amalia·2022·Obesity

Abstract

The article discusses how to measure insulin resistance in muscle, liver, and adipose tissue in human participants. The most frequently used methodologies to evaluate insulin resistance are described in detail starting from the gold standard, that is, the euglycemic hyperinsulinemic clamp, to the intravenous glucose tolerance test, surrogate indices based on fasting measurements, or dynamic tests (such as oral glucose or mixed meal tolerance tests). The accuracy, precision, and reproducibility of the tests as well as cutoff values are reported.

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Crossref · 10.1002/oby.23503

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  • Insulin resistance can also be measured clinically with the HOMA-IR index from fasting insulin or C-peptide and fasting glucose concentrations, including in people with T2D unless on insulin treatment.

    “insulin resistance can also be measured clinically with the HOMA-IR index from fasting insulin or C-peptide and fasting glucose concentrations, including in people with T2D (unless on insulin treatment). 219 -221”

    From EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD). (2024) · cites this paper as [221]

    The 'Alternative tests' section (page not provided) gives HOMA-IR as an index calculated from fasting insulin and glucose, and its cutoff discussion includes participants with diabetes. Our copy does not establish that C-peptide can replace insulin in HOMA-IR or specify the exception for people receiving insulin treatment. (LLM, conf=0.86)

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Research works printed but not linked: 1

  1. [90]Anderson RL, Hamman RF, Savage PJ, et al. Exploration of simple insulin sensitivity measures derived from frequently sampled intravenous glucose tolerance (FSIGT) tests. The Insulin Resistance Atherosclerosis Study. Am J Epidemiol. 1995; 142: 724‐ 732. 7572943

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Authors
Gastaldelli, A.
Affiliations
Istituto di Fisiologia Clinica (IT)
Corresponding author
Gastaldelli, Amalia
Venue
Obesity
Publisher
Wiley
Published
2022-07-27
Volume
30
Issue
8
Pages
1549-1563
ISSN
  • 1930-7381 (ISSN-L)
  • 1930-739X
OpenAlex
W4288067929
Cited by
244
References
94
Citations by year
2026: 68 · 2025: 87 · 2024: 63 · 2023: 23 · 2022: 2 · 2021: 1
FWCI
6.30
Type
journal article
Language
en
Open access
Locations
  • Obesity (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
Funders
  • H2020 Marie Skłodowska-Curie Actions (mtFOIE GRAS No. 734719)
  • Innovative Medicines Initiative (SOPHIA No. 875534)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
Keywords
insulin resistance, hyperinsulinemic-euglycemic clamp, intravenous glucose tolerance test, oral glucose tolerance test, mixed meal tolerance test, surrogate indices, skeletal muscle insulin sensitivity, hepatic insulin resistance, adipose tissue insulin resistance, cut-off values
MeSH terms
Blood Glucose, Glucose Tolerance Test, Humans, Insulin, Insulin Resistance, Reproducibility of Results, Glucose Clamp Technique, Glucose Intolerance

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