http://www.cnr.it/ontology/cnr/individuo/prodotto/ID221497
Measurement of insulin-mediated glucose uptake: Direct comparison of the modified insulin suppression test and the euglycemic, hyperinsulinemic clamp (Articolo in rivista)
- Type
- Label
- Measurement of insulin-mediated glucose uptake: Direct comparison of the modified insulin suppression test and the euglycemic, hyperinsulinemic clamp (Articolo in rivista) (literal)
- Anno
- 2013-01-01T00:00:00+01:00 (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi
- 10.1016/j.metabol.2012.10.002 (literal)
- Alternative label
Knowles, J.W.;Assimes, T.L.;Tsao, P.S.;Natali, A.;Mari, A.;Quertermous, T.;Reaven, G.M.;Abbasi, F. (2013)
Measurement of insulin-mediated glucose uptake: Direct comparison of the modified insulin suppression test and the euglycemic, hyperinsulinemic clamp
in Metabolism, clinical and experimental (Online)
(literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
- Knowles, J.W.;Assimes, T.L.;Tsao, P.S.;Natali, A.;Mari, A.;Quertermous, T.;Reaven, G.M.;Abbasi, F. (literal)
- Pagina inizio
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- http://www.ncbi.nlm.nih.gov/pubmed/23151437 (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
- Rivista
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- ISI Web of Science (WOS) (literal)
- Scopu (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
- 1, 2, 3, 6, 7, 8: Stanford University, Division of Cardiovascular Medicine, Falk CVRC, 300 Pasteur Dr., Stanford, CA 94305-5406, USA ;
4: University of Pisa, Department of Internal Medicine, Via Roma 67, 56100 Pisa, Italy ;
5: Institute of Biomedical Engineering-National Research Council, Corso Stati Uniti 4, 35127 Padova, Italy; (literal)
- Titolo
- Measurement of insulin-mediated glucose uptake: Direct comparison of the modified insulin suppression test and the euglycemic, hyperinsulinemic clamp (literal)
- Abstract
- Background. Two direct measurements of peripheral insulin sensitivity are the M value
derived from the euglycemic, hyperinsulinemic clamp (EC) and the steady-state plasma
glucose (SSPG) concentration derived from the insulin suppression test (IST). Prior work
suggests that these measures are highly correlated, but the agreement between them is
unknown. To determine the agreement between SSPG andM and to develop transformation
equations to convert SSPG to M and vice versa, we directly compared these two
measurements in the same individuals.
Methods. A total of 15 nondiabetic subjects (9 women and 6 men) underwent both an EC
and a modified version of the IST within a median interval of 5 days. We performed
standard correlation metrics of the two measures and developed transformation regression
equations for the two measures.
Results. The mean±SD age of the subjects was 57±7 years and body mass index, 27.7±
3.9 kg/m2. The median (interquartile range) SSPG concentration was 6.7 (5.1, 9.8) mmol/L
and M value, 49.6 (28.9, 64.2) ?mol/min/kg-LBM. There was a highly significant correlation
between SSPG and M (r=-0.87, P <0.001). The relationship was best fit by regression models
with exponential/logarithmic functions (R2=0.85). Bland-Altman plots demonstrated an
excellent agreement between these measures of insulin action.
Conclusion. The SSPG and M are highly related measures of insulin sensitivity and the
results provide the means to directly compare the two measurements. (literal)
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