Evaluation of serum insulin levels after an oral glucose load for the diagnosis of insulin resistance
Keywords: insulin resistance, glucose tolerance test, hyperinsulinism
Background: In our country, the assessment of insulin resistance (IR) measuring serum insulin levels at 60 and 120 minutes after a 75 g oral glucose tolerance test (OGTT), is usual. However, there is no information about the distribution of serum insulin levels in the Chilean population. Aim: To assess the distribution of serum insulin levels at 60 and 120 minutes during OGTTs and suggest a statistical cut-off point to estimate the degree of IR. Material and Methods: Retrospective analysis of 1815 OGTTs performed in non-diabetic subjects aged between 18 and 75 years, at a university medical center. HOMA-IR (Homeostasis Model Assessment), insulin sensitivity index of Matsuda (ISI-Composite), and their correlation with serum insulin levels at 60 and 120 minutes were calculated. Results: The 75th percentiles for serum insulin levels at 60 and 120 minutes were 127 and 81 respectively. There was a high correlation between HOMA-IR and 151-Composite (r = -089, p < 0.001). There was a weaker although significant correlation between HOMA-IR and ISI-Composite and insulin levels at 60 (r = 0.56 and -0.79 respectively, p <0,001) and 120 minutes (r = 0.54 and -0.75 respectively, p < 0,001). Conclusions: We propose 60 and 120 min serum insulin levels of 130 and 80 mu U/mL respectively, as cut-off values for normality during OGTT in Chilean normoglycemic individuals.
|Título según WOS:||Evaluation of serum insulin levels after an oral glucose load for the diagnosis of insulin resistance|
|Título de la Revista:||REVISTA MEDICA DE CHILE|
|Editorial:||SOC MEDICA SANTIAGO|
|Fecha de publicación:||2014|
|Página de inicio:||1106|