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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Background
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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RETRACTED ARTICLE: The effect of zinc and vitamin E cosupplementation on metabolic status and its related gene expression in patients with gestational diabetes
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Retracted

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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