Two-Hour Seven-Sample Oral Glucose Tolerance Test and Meal Protocol
Open accessAbstract
Highly informative yet simple protocols to assess insulin secretion and action would considerably enhance the quality of epidemiological and large-scale clinical trials. In an effort to develop such protocols, a 5-h, 11-sample oral glucose tolerance test (OGTT) was performed in 100 individuals and a 7-h, 21-sample meal in another 100. Plasma glucose, insulin, and C-peptide concentrations were measured. We show that virtually the same minimal model assessment of β-cell responsivity (dynamic [Φd] and static [Φs]), insulin sensitivity (Si), and disposition index (DI) can be obtained with a reduced seven-sample 2-h protocol: Φd, reduced versus full: 871.50 vs. 873.32, r = 0.98 in OGTT and 494.88 vs. 477.99 10−9, r = 0.91 in meal; Φs: 42.36 vs. 44.35, r = 0.88 in OGTT and 35.31 vs. 35.37 10−9 min−1, r = 0.90 in meal; Si: 24.33 vs. 22.77 10−5 dl · kg−1 · min−1 per pmol/l, r = 0.89 in OGTT and 19.03 vs. 19.77 10−5 dl · kg−1 · min−1 per pmol/l, r = 0.85 in meal; and DI: 1,282.26 vs. 1,273.23, r = 0.84 in OGTT and 726.92 vs. 776.97 10−14 dl · kg−1 · min−2 per pmol/l, r = 0.84 in meal. This reduced protocol will facilitate the study of insulin secretion and action under physiological conditions in nondiabetic humans.
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The ISI measures the overall effects of insulin to stimulate glucose disposal and inhibit glucose production.
“The ISI measures the overall effects of insulin to stimulate glucose disposal and inhibit glucose production.”
From The role of skeletal muscle insulin resistance in the pathogenesis of the metabolic syndrome (2007) · cites this paper as [32]
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- Authors
- Dalla Man, C., Campioni, M., Polonsky, K. S., Basu, R., Rizza, R. A., Toffolo, G., & Cobelli, C.
- Affiliations
- Department of Information Engineering, University of Padova, Padova, Italy
- University of Padua (IT)
- Washington University in St. Louis (US)
- Mayo Clinic (US)
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 2005-11-01
- Volume
- 54
- Issue
- 11
- Pages
- 3265-3273
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- OpenAlex
- W2141363931
- Cited by
- 179
- References
- 12
- Citations by year
- 2026: 8 · 2025: 6 · 2024: 9 · 2023: 6 · 2022: 8 · 2021: 14 · 2020: 10 · 2019: 8 · 2018: 16 · 2017: 8 · 2016: 9 · 2015: 6 · 2014: 8 · 2013: 9 · 2012: 8
- FWCI
- 6.34
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes (publishedVersion)
- PubMed (publishedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (DK29953-23)
- National Institute of Biomedical Imaging and Bioengineering (EB 01975, P41EB001975)
- Topics
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- oral glucose tolerance test, insulin secretion, insulin sensitivity, insulin sensitivity index, disposition index, minimal model analysis, C-peptide, plasma glucose
- MeSH terms
- Insulin Secretion, Adult, Aged, 80 and over, Blood Glucose, C-Peptide, Diet, Glucose Tolerance Test, Humans, Insulin, Insulin Resistance, Middle Aged, Models, Biological, Time Factors, Insulin-Secreting Cells
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