Cited by 302Diabetes, Cardiovascular Risks, and LipoproteinsPancreatic function and diabetesDiabetes Management and Research

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Limitations in the Use of Indices Using Glucose and Insulin Levels to Predict Insulin Sensitivity

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Pisprasert, Veeradej, Ingram, Katherine H., Lopez-Davila, Maria F., Munoz, A. Julian, Garvey, W. Timothy·2013·Diabetes Care

DOI 10.2337/dc12-0840PMC PMC3609485

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Abstract

OBJECTIVE: To examine the utility of commonly used insulin sensitivity indices in nondiabetic European Americans (EAs) and African Americans (AAs). RESEARCH DESIGN AND METHODS: Two-hundred forty nondiabetic participants were studied. Euglycemic-hyperinsulinemic clamp was the gold standard approach to assess glucose disposal rates (GDR) normalized by lean body mass. The homeostatic model assessment for insulin resistance (HOMA-IR) and the quantitative insulin sensitivity check index (QUICKI) were calculated from fasting plasma glucose and insulin (FIL). Oral glucose tolerance test (OGTT) was performed to determine Matsuda index, the simple index assessing insulin sensitivity (SIisOGTT), Avignon index, and Stomvoll index. Relationships among these indices with GDR were analyzed by multiple regression. RESULTS: GDR values were similar in EA and AA subgroups; even so, AA exhibited higher FIL and were insulin-resistant compared with EA, as assessed by HOMA-IR, QUICKI, Matsuda index, SIisOGTT, Avignon index, and Stumvoll index. In the overall study population, GDR was significantly correlated with all studied insulin sensitivity indices (/r/ = 0.381–0.513); however, these indices were not superior to FIL in predicting GDR. Race and gender affected the strength of this relationship. In AA males, FIL and HOMA-IR were not correlated with GDR. In contrast, Matsuda index and SIisOGTT were significantly correlated with GDR in AA males, and Matsuda index was superior to HOMA-IR and QUICKI in AAs overall. CONCLUSIONS: Insulin sensitivity indices based on glucose and insulin levels should be used cautiously as measures of peripheral insulin sensitivity when comparing mixed gender and mixed race populations. Matsuda index and SIisOGTT are reliable in studies that include AA males.

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Homeostasis model assessment: insulin resistance and ?-cell function from fasting plasma glucose and insulin concentrations in man
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Homeostasis model assessment closely mirrors the glucose clamp technique in the assessment of insulin sensitivity: Studies in subjects with various degrees of glucose tolerance and insulin sensitivity
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“Finally, the homeostasis model assessment for insulin resistance (HOMA-IR) was conducted according to their suggested formulas as follows [23,25]:”
Method
The Effects of Probiotic Supplementation on Genetic and Metabolic Profiles in Patients with Gestational Diabetes Mellitus: a Randomized, Double-Blind, Placebo-Controlled Trial
Babadi, M., Khorshidi, A., Aghadavod, E., Samimi, M., Kavossian, E., Bahmani, F., Mafi, A., Shafabakhsh, R., Sattari, M., & Asemi, Z. (2018) · Probiotics and Antimicrobial Proteins · doi:10.1007/s12602-018-9490-z · Cited by 84
The effects of curcumin intake on wound healing and metabolic status in patients with diabetic foot ulcer: A randomized, double‐blind, placebo‐controlled trial
Mokhtari, M., Razzaghi, R., & Momen–Heravi, M. (2020) · Phytotherapy Research · doi:10.1002/ptr.6957 · Cited by 79
Lipid Accumulation in Hearts Transplanted From Nondiabetic Donors to Diabetic Recipients
Marfella, R., Amarelli, C., Cacciatore, F., Balestrieri, M. L., Mansueto, G., D’Onofrio, N., Esposito, S., Mattucci, I., Salerno, G., FEO, M. D., et al. (2020) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2020.01.018 · Cited by 82
The Effects of Probiotic Honey Consumption on Metabolic Status in Patients with Diabetic Nephropathy: a Randomized, Double-Blind, Controlled Trial
Arani, N. M., Emam‐Djomeh, Z., Tavakolipour, H., Chaleshtori, R. S., Soleimani, A., & Asemi, Z. (2018) · Probiotics and Antimicrobial Proteins · doi:10.1007/s12602-018-9468-x · Cited by 78
The effects of magnesium and vitamin E co‐supplementation on wound healing and metabolic status in patients with diabetic foot ulcer: A randomized, double‐blind, placebo‐controlled trial
Afzali, H., Kashi, A. H. J., Momen–Heravi, M., Razzaghi, R., Amirani, E., Bahmani, F., Gilasi, H. R., & Asemi, Z. (2019) · Wound Repair and Regeneration · doi:10.1111/wrr.12701 · Cited by 78
The effect of vitamin D supplementation on clinical symptoms and metabolic profiles in patients with endometriosis
Mehdizadehkashi, A., Rokhgireh, S., Tahermanesh, K., Eslahi, N., Minaeian, S., & Samimi, M. (2021) · Gynecological Endocrinology · doi:10.1080/09513590.2021.1878138 · Cited by 77
Synbiotic supplementation and the effects on clinical and metabolic responses in patients with rheumatoid arthritis: a randomised, double-blind, placebo-controlled trial
Zamani, B., Farshbaf, S., Golkar, H. R., Bahmani, F., & Asemi, Z. (2017) · British Journal Of Nutrition · doi:10.1017/s000711451700085x · Cited by 76
The effects of synbiotic supplementation on markers of insulin metabolism and lipid profiles in gestational diabetes: a randomised, double-blind, placebo-controlled trial
Ahmadi, S., Jamilian, M., Ebrahimi, M. T., Jafari, P., & Asemi, Z. (2016) · British Journal Of Nutrition · doi:10.1017/s0007114516003457 · Cited by 81
The effects of combined magnesium and zinc supplementation on metabolic status in patients with type 2 diabetes mellitus and coronary heart disease
Hamedifard, Z., Farrokhian, A., Reiner, Ž., Bahmani, F., Asemi, Z., Ghotbi, M., & Taghizadeh, M. (2020) · Lipids in Health and Disease · doi:10.1186/s12944-020-01298-4 · Cited by 78
Standardized Mixed-Meal Tolerance and Arginine Stimulation Tests Provide Reproducible and Complementary Measures of β-Cell Function: Results From the Foundation for the National Institutes of Health Biomarkers Consortium Investigative Series
Shankar, S. S., Vella, A. V., Raymond, R. H., Staten, M. A., Calle, R. A., Bergman, R. N., Cao, C., Chen, D., Cobelli, C., Man, C. D., et al. (2016) · Diabetes Care · doi:10.2337/dc15-0931 · Cited by 74
The Effects of Synbiotic Supplementation on Metabolic Status in Women With Polycystic Ovary Syndrome: a Randomized Double-Blind Clinical Trial
Samimi, M., Dadkhah, A., Kashani, H. H., Ebrahimi, M. T., Hosseini, E. S., & Asemi, Z. (2018) · Probiotics and Antimicrobial Proteins · doi:10.1007/s12602-018-9405-z · Cited by 73
Remission of pre-diabetes to normal glucose tolerance in obese adults with high protein versus high carbohydrate diet: randomized control trial
Stentz, F. B., Brewer, A., Wan, J., Garber, C., Daniels, B., Sands, C., & Kitabchi, A. E. (2016) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2016-000258 · Cited by 72
The Effects of Vitamin D Supplementation on Metabolic Status of Patients with Polycystic Ovary Syndrome: A Randomized, Double-Blind, Placebo-Controlled Trial
Maktabi, M., Chamani, M., & Asemi, Z. (2017) · Hormone and Metabolic Research · doi:10.1055/s-0043-107242 · Cited by 71
The Effects of Melatonin Supplementation on Parameters of Mental Health, Glycemic Control, Markers of Cardiometabolic Risk, and Oxidative Stress in Diabetic Hemodialysis Patients: A Randomized, Double-Blind, Placebo-Controlled Trial
Ostadmohammadi, V., Soleimani, A., Bahmani, F., Aghadavod, E., Ramezani, R., Reiter, R. J., Mansournia, M. A., Banikazemi, Z., Soleimani, M., Zaroudi, M., et al. (2019) · Journal of Renal Nutrition · doi:10.1053/j.jrn.2019.08.003 · Cited by 70
Bone marrow activation in response to metabolic syndrome and early atherosclerosis
Devesa, A., Lobo-González, M., Martínez‐Milla, J., Oliva, B., García‐Lunar, I., Mastrangelo, A., España, S., Sanz, J., Mendiguren, J. M., Bueno, H., et al. (2022) · European Heart Journal · doi:10.1093/eurheartj/ehac102 · Cited by 70
Retracted: Magnesium supplementation affects metabolic status and pregnancy outcomes in gestational diabetes: a randomized, double-blind, placebo-controlled trial
Asemi, Z., Karamali, M., Jamilian, M., Foroozanfard, F., Bahmani, F., Heidarzadeh, Z., Benisi-Kohansal, S., Surkan, P. J., & Esmaillzadeh, A. (2015) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.114.098616 · Cited by 69
Retracted
Insulin Sensitivity and Albuminuria: The RISC Study
Pilz, S., Rutters, F., Nijpels, G., Stehouwer, C. D. A., Højlund, K., Nolan, J. J., Balkau, B., Dekker, J. M., & the RISC Investigators (2014) · Diabetes Care · doi:10.2337/dc13-2573 · Cited by 69
Effects of High-Dose Vitamin D Supplementation on Metabolic Status and Pregnancy Outcomes in Pregnant Women at Risk for Pre-Eclampsia
Karamali, M., Beihaghi, E., Mohammadi, A. A., & Asemi, Z. (2015) · Hormone and Metabolic Research · doi:10.1055/s-0035-1548835 · Cited by 68
Triglycerides and glucose index as an insulin resistance marker in a sample of healthy adults
Toro-Huamanchumo, C. J., Urrunaga‐Pastor, D., Guarnizo-Poma, M., Lázaro-Alcántara, H., Paico-Palacios, S., Pantoja-Torres, B., Ranilla-Seguin, V. D. C., & Benites-Zapata, V. A. (2018) · Diabetes & Metabolic Syndrome Clinical Research & Reviews · doi:10.1016/j.dsx.2018.09.010 · Cited by 71
Diabetes Remission Status During Seven-year Follow-up of the Longitudinal Assessment of Bariatric Surgery Study
Purnell, J. Q., Dewey, E. N., Laferrère, B., Selzer, F., Flum, D. R., Mitchell, J. E., Pomp, A., Pories, W. J., Inge, T. H., Courcoulas, A. P., et al. (2020) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaa849 · Cited by 71
The Effects of Omega-3 Fatty Acids and Vitamin E Co-Supplementation on Indices of Insulin Resistance and Hormonal Parameters in Patients with Polycystic Ovary Syndrome: A Randomized, Double-Blind, Placebo-Controlled Trial
Ebrahimi, F. A., Samimi, M., Foroozanfard, F., Jamilian, M., Akbari, H., Rahmani, E., Ahmadi, S., Taghizadeh, M., Memarzadeh, M. R., & Asemi, Z. (2017) · Experimental and Clinical Endocrinology & Diabetes · doi:10.1055/s-0042-117773 · Cited by 64
Expression of Concern: The effects of vitamin D plus calcium supplementation on metabolic profiles, biomarkers of inflammation, oxidative stress and pregnancy outcomes in pregnant women at risk for pre‐eclampsia
Samimi, M., Kashi, M., Foroozanfard, F., Karamali, M., Bahmani, F., Asemi, Z., Hamidian, Y., Talari, H. R., & Esmaillzadeh, A. (2015) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.12339 · Cited by 64
The Effects of Flaxseed Oil Omega-3 Fatty Acids Supplementation on Metabolic Status of Patients with Polycystic Ovary Syndrome: A Randomized, Double-Blind, Placebo-Controlled Trial
Mirmasoumi, G., Fazilati, M., Foroozanfard, F., Vahedpoor, Z., Mahmoodi, S., Taghizadeh, M., Esfeh, N. K., Mohseni, M., Karbassizadeh, H., & Asemi, Z. (2017) · Experimental and Clinical Endocrinology & Diabetes · doi:10.1055/s-0043-119751 · Cited by 67
Comparison of myo-inositol and metformin on glycemic control, lipid profiles, and gene expression related to insulin and lipid metabolism in women with polycystic ovary syndrome: a randomized controlled clinical trial
Shokrpour, M., Foroozanfard, F., Afshar Ebrahimi, F., Vahedpoor, Z., Aghadavod, E., Ghaderi, A., & Asemi, Z. (2019) · Gynecological Endocrinology · doi:10.1080/09513590.2018.1540570 · Cited by 63
Evaluation the effect of 50 and 100 mg doses of Cuminum cyminum essential oil on glycemic indices, insulin resistance and serum inflammatory factors on patients with diabetes type II: A double-blind randomized placebo-controlled clinical trial
Jafari, S., Sattari, R., & Ghavamzadeh, S. (2016) · Journal of Traditional and Complementary Medicine · doi:10.1016/j.jtcme.2016.08.004 · Cited by 65
The Effects of Synbiotic Supplementation on Metabolic Status in Diabetic Patients Undergoing Hemodialysis: a Randomized, Double-Blinded, Placebo-Controlled Trial
Soleimani, A., Motamedzadeh, A., Mojarrad, M. Z., Bahmani, F., Amirani, E., Ostadmohammadi, V., Ebrahimi, M. T., & Asemi, Z. (2018) · Probiotics and Antimicrobial Proteins · doi:10.1007/s12602-018-9499-3 · Cited by 63
The effects of folate supplementation on inflammatory factors and biomarkers of oxidative stress in overweight and obese women with polycystic ovary syndrome: a randomized, double‐blind, placebo ‐controlled clinical trial
Bahmani, F., Karamali, M., Shakeri, H., & Asemi, Z. (2014) · Clinical Endocrinology · doi:10.1111/cen.12451 · Cited by 62
Zinc supplementation and the effects on metabolic status in gestational diabetes: A randomized, double-blind, placebo-controlled trial
Karamali, M., Heidarzadeh, Z., Seifati, S. M., Samimi, M., Tabassi, Z., Hajijafari, M., Asemi, Z., & Esmaillzadeh, A. (2015) · Journal of Diabetes and its Complications · doi:10.1016/j.jdiacomp.2015.07.001 · Cited by 64
The effects of high-dose vitamin E supplementation on biomarkers of kidney injury, inflammation, and oxidative stress in patients with diabetic nephropathy: A randomized, double-blind, placebo-controlled trial
Khatami, P. G., Soleimani, A., Sharifi, N., Aghadavod, E., & Asemi, Z. (2016) · Journal of clinical lipidology · doi:10.1016/j.jacl.2016.02.021 · Cited by 62
A comparison between the effects of flaxseed oil and fish oil supplementation on cardiovascular health in type 2 diabetic patients with coronary heart disease: A randomized, double‐blinded, placebo‐controlled trial
Raygan, F., Taghizadeh, M., Mirhosseini, N. Z., Akbari, E., Bahmani, F., Memarzadeh, M. R., Sharifi, N., Jafarnejad, S., Banikazemi, Z., & Asemi, Z. (2019) · Phytotherapy Research · doi:10.1002/ptr.6393 · Cited by 61
The effects of coenzyme Q10 supplementation on glucose metabolism and lipid profiles in women with polycystic ovary syndrome: a randomized, double‐blind, placebo‐controlled trial
Samimi, M., Mehrizi, M. Z., Foroozanfard, F., Akbari, H., Jamilian, M., Ahmadi, S., & Asemi, Z. (2016) · Clinical Endocrinology · doi:10.1111/cen.13288 · Cited by 64
Relationship between insulin resistance and amino acids in women and men
Seibert, R. G., Abbasi, F., Hantash, F. M., Caulfield, M. P., Reaven, G. M., & Kim, S. H. (2015) · Physiological Reports · doi:10.14814/phy2.12392 · Cited by 58
RETRACTED: Metabolic response to omega-3 fatty acid supplementation in patients with diabetic nephropathy: A randomized, double-blind, placebo-controlled trial
Soleimani, A., Taghizadeh, M., Bahmani, F., Badrooj, N., & Asemi, Z. (2015) · Clinical Nutrition · doi:10.1016/j.clnu.2015.11.003 · Cited by 58
Retracted
Retracted: Long-Term Vitamin D Supplementation Affects Metabolic Status in Vitamin D–Deficient Type 2 Diabetic Patients with Coronary Artery Disease
Farrokhian, A., Raygan, F., Bahmani, F., Talari, H. R., Esfandiari, R., Esmaillzadeh, A., & Asemi, Z. (2017) · Journal of Nutrition · doi:10.3945/jn.116.242008 · Cited by 58
Retracted
Metabolic response to folate supplementation in overweight women with polycystic ovary syndrome: A randomized double‐blind placebo‐controlled clinical trial
Asemi, Z., Karamali, M., & Esmaillzadeh, A. (2014) · Molecular Nutrition & Food Research · doi:10.1002/mnfr.201400033 · Cited by 57
Effect of Selenium Supplementation on Glycemic Control and Lipid Profiles in Patients with Diabetic Nephropathy
Bahmani, F., Kia, M., Soleimani, A., Asemi, Z., & Esmaillzadeh, A. (2015) · Biological Trace Element Research · doi:10.1007/s12011-015-0600-4 · Cited by 57
A Randomized Double-Blinded, Placebo-Controlled Trial Investigating the Effect of Fish Oil Supplementation on Gene Expression Related to Insulin Action, Blood Lipids, and Inflammation in Gestational Diabetes Mellitus-Fish Oil Supplementation and Gestational Diabetes
Jamilian, M., Samimi, M., Mirhosseini, N. Z., Ebrahimi, F. A., Aghadavod, E., Taghizadeh, M., & Asemi, Z. (2018) · Nutrients · doi:10.3390/nu10020163 · Cited by 60
The effect of apple vinegar consumption on glycemic indices, blood pressure, oxidative stress, and homocysteine in patients with type 2 diabetes and dyslipidemia: A randomized controlled clinical trial
Gheflati, A., Bashiri, R., Ghadiri‐Anari, A., Reza, J. Z., Kord, M. T., & Nadjarzadeh, A. (2019) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2019.06.006 · Cited by 68
The Influences of Chromium Supplementation on Metabolic Status in Patients with Type 2 Diabetes Mellitus and Coronary Heart Disease
Farrokhian, A., Mahmoodian, M., Bahmani, F., Amirani, E., Shafabakhsh, R., & Asemi, Z. (2019) · Biological Trace Element Research · doi:10.1007/s12011-019-01783-7 · Cited by 59
Effects of Zinc Supplementation on Markers of Insulin Resistance and Lipid Profiles in Women with Polycystic Ovary Syndrome: a Randomized, Double-blind, Placebo-controlled Trial
Foroozanfard, F., Jamilian, M., Jafari, Z., Khassaf, A., Hosseini, A., Khorammian, H., & Asemi, Z. (2015) · Experimental and Clinical Endocrinology & Diabetes · doi:10.1055/s-0035-1548790 · Cited by 55
The Effects of Probiotic and Selenium Co-supplementation on Clinical and Metabolic Scales in Chronic Schizophrenia: a Randomized, Double-blind, Placebo-Controlled Trial
Jamilian, H., & Ghaderi, A. (2021) · Biological Trace Element Research · doi:10.1007/s12011-020-02572-3 · Cited by 56
A randomized-controlled clinical trial investigating the effect of omega-3 fatty acids and vitamin E co-supplementation on markers of insulin metabolism and lipid profiles in gestational diabetes
Taghizadeh, M., Jamilian, M., Mazloomi, M., Sanami, M., & Asemi, Z. (2015) · Journal of clinical lipidology · doi:10.1016/j.jacl.2015.12.017 · Cited by 53
Expression of Concern: The effects of melatonin supplementation on mental health, metabolic and genetic profiles in patients under methadone maintenance treatment
Ghaderi, A., Banafshe, H. R., Mirhosseini, N. Z., Motmaen, M., Mehrzad, F., Bahmani, F., Aghadavod, E., Mansournia, M. A., Reiter, R. J., Karimi, M., et al. (2018) · Addiction Biology · doi:10.1111/adb.12650 · Cited by 53

Authors: Pisprasert, V., Ingram, K. H., Lopez-Davila, M. F., Munoz, A. J., & Garvey, W. T.
Affiliations: University of Alabama at Birmingham (US)
Kennesaw State University (US)
Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, Alabama
University of South Carolina (US)
Corresponding author: Pisprasert, Veeradej
ORCID: Pisprasert, Veeradej
Ingram, Katherine H.
Garvey, W. Timothy
Venue: Diabetes Care
Publisher: American Diabetes Association
Published: 2013-03-14
Volume: 36
Issue: 4
Pages: 845-853
ISSN: 0149-5992 (ISSN-L)
1935-5548
DOI: 10.2337/dc12-0840
PMC: PMC3609485
OpenAlex: W2168987890
Cited by: 302
References: 41
Citations by year: 2026: 5 · 2025: 14 · 2024: 11 · 2023: 11 · 2022: 23 · 2021: 18 · 2020: 31 · 2019: 30 · 2018: 33 · 2017: 32 · 2016: 32 · 2015: 31 · 2014: 23 · 2013: 8
FWCI: 15.91
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
creativecommons.org/licenses/by-nc-nd/3.0/ (vor, 3093 d)
Locations: Diabetes Care (publishedVersion, cc-by-nc-nd)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
PubMed Central (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
DigitalCommons - Kennesaw State University (Kennesaw State University) (submittedVersion)
Funders: National Institutes of Health (5p60dk079626-05)
National Institute of Diabetes and Digestive and Kidney Diseases (DK-038764, P60-DK-079626, DK-083562, R01DK083562, P30DK056336)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pancreatic function and diabetes
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords: insulin sensitivity index, insulin resistance, Matsuda index, HOMA-IR, QUICKI, glucose disposal rate, hyperinsulinemic-euglycemic clamp, fasting insulin, racial differences, African American men, European Americans, oral glucose tolerance test, peripheral insulin sensitivity
MeSH terms: Adult, Black or African American, Blood Glucose, Female, Glucose Tolerance Test, Humans, Immunoassay, Insulin, Insulin Resistance, Male, Middle Aged, Glucose Clamp Technique, Absorptiometry, Photon, White People

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Limitations in the Use of Indices Using Glucose and Insulin Levels to Predict Insulin Sensitivity

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