Cited by 31Diabetes, Cardiovascular Risks, and LipoproteinsPancreatic function and diabetesDiabetes Management and Research

Measuring insulin sensitivity in postmenopausal women covering a range of glucose tolerance: comparison of indices derived from the oral glucose tolerance test with the euglycemic-hyperinsulinemic clamp

Piché, Marie-Ève, Lemieux, Simone, Corneau, Louise, Nadeau, André, Bergeron, Jean, Weisnagel, S. John·2007·Metabolism

Abstract

This study compares indices of insulin sensitivity derived from fasting and oral glucose tolerance test (OGTT) glucose and insulin measurements, with respect to the reference measure (M/I), obtained from the euglycemic-hyperinsulinemic clamp, in postmenopausal women with varying glucose tolerance status. Fasting plasma insulin index, homeostasis model assessment index, and OGTT-derived indices (insulin 120-minute, Matsuda, metabolic clearance rate [MCR] of glucose, insulin sensitivity [ISI], and Cederholm indices) were calculated and compared with the M/I value in 112 postmenopausal women. All indices examined were significantly correlated with M/I (0.28 < or = r(2) < or = 0.56). Association studies revealed that on average, 48% of women were grouped in the same tertile of insulin sensitivity when using M/I and fasting plasma insulin index, and 54% when using M/I and insulin 120-minute index. However, concordance with M/I tertiles were 57%, 58%, 64%, 64%, and 68% for homeostasis model assessment, Matsuda, MCR, ISI, and Cederholm indices, respectively. Finally, correlation coefficients between M/I and insulin sensitivity indices were generally lower in women with normal glucose tolerance compared with women with impaired glucose tolerance or type 2 diabetes mellitus. These results suggest that in postmenopausal women, surrogate indices of insulin sensitivity obtained from OGTT data and incorporating a measurement of body weight or body mass index) (Cederholm, ISI, and MCR indices) appear to be superior to those without OGTT data or body weight-body mass index measurements and, therefore, could offer a better estimate of insulin sensitivity, allowing an improved clinical evaluation of this population at higher risk of cardiovascular disease and type 2 diabetes mellitus.

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Crossref · 10.1016/j.metabol.2007.04.002

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Authors
Piché, M.-È., Lemieux, S., Corneau, L., Nadeau, A., Bergeron, J., & Weisnagel, S. J.
Affiliations
  • Centre hospitalier de l'Université Laval (CA)
  • Université Laval (CA)
Corresponding author
Weisnagel, S. John
Venue
Metabolism
Publisher
Elsevier BV
Published
2007-09
Volume
56
Issue
9
Pages
1159-1166
ISSN
0026-0495 (ISSN-L)
OpenAlex
W2036044659
Cited by
31
References
32
Citations by year
2025: 1 · 2021: 1 · 2019: 2 · 2018: 3 · 2016: 1 · 2015: 4 · 2014: 4 · 2013: 3 · 2012: 1
FWCI
1.46
Type
journal article
Language
en
Open access
closed
Locations
  • Metabolism (publishedVersion)
  • PubMed (publishedVersion)
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 › Diabetes Management and Research
Keywords
insulin sensitivity, postmenopausal women, oral glucose tolerance test, hyperinsulinemic-euglycemic clamp, insulin sensitivity index, Matsuda index, HOMA, glucose metabolic clearance rate, impaired glucose tolerance, type 2 diabetes, body mass index, surrogate indices
MeSH terms
Aged, Blood Glucose, Female, Glucose Tolerance Test, Health Status Indicators, Humans, Insulin Resistance, Middle Aged, Glucose Clamp Technique, Prevalence, Postmenopause, Glucose Intolerance, Metabolic Syndrome

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