Reduced Sampling Schedules for Calculation of an Insulin Sensitivity Index from the Liquid Meal Tolerance Test

Authors

  • Chad M. Cook Mary R. Dicklin and Kevin C. Maki Biofortis Clinical Research, 211 East Lake Street, Addison, IL 60101, USA
  • Tia M. Rains Mary R. Dicklin and Kevin C. Maki Biofortis Clinical Research, 211 East Lake Street, Addison, IL 60101, USA
  • Kathleen Kelley Mary R. Dicklin and Kevin C. Maki Biofortis Clinical Research, 211 East Lake Street, Addison, IL 60101, USA
  • Andrea Lawless Mary R. Dicklin and Kevin C. Maki Biofortis Clinical Research, 211 East Lake Street, Addison, IL 60101, USA
  • Arianne L. Schild Mary R. Dicklin and Kevin C. Maki Biofortis Clinical Research, 211 East Lake Street, Addison, IL 60101, USA

DOI:

https://doi.org/10.17140/DROJ-1-104

Keywords:

Type 2 diabetes mellitus, Insulin resistance, Insulin sensitivity, Glucose tolerence test

Abstract

Background: The objective of this study was to evaluate the performance of the Matsuda index of insulin sensitivity (MISI) calculated using reduced sampling schedules. Methods: Relationships between MISI values from a Liquid Meal Tolerance Test (LMTT) and
insulin sensitivity (SI) derived from an intravenous glucose tolerance test were assessed in 24 overweight/obese subjects (67% women) without diabetes. Results: Significant correlations were found between SI and 1) MISI calculated from 0, 30, 60, 90, and 120 min (r=0.776, p<0.0001); 2) MISI calculated from 0, 60, and 120 min (r=0.815, p<0.0001); and 3) MISI calculated from and 0 and 120 min (r=0.848, p<0.0001). Conclusion: MISI from LMTTs calculated using reduced sampling schedules (0, 60, 120 min or 0, 120 min) may be useful, lower cost options for assessment of insulin sensitivity in population studies and large clinical trials.

References

DeFronzo RA, Matsuda M. Reduced time points to calcu-late the composite index. Diabetes Care. 2010; 33(7): e93. doi: 10.2337/dc10-0646 Diabetes Res Open J

Maki KC, McKenney JM, Farmer MV, Reeves MS, Dicklin MR. Indices of insulin sensitivity and secretion from a standard liquid meal test in subjects with type 2 diabetes, impaired or normal fasting glucose. Nutr J. 2009; 8: 22. doi: 10.1186/1475- 2891-8-22

Maki KC, Rains TM, Dicklin MR, Bell M. Repeatability of indices of insulin sensitivity and secretion from standard liquid meal tests in subjects with type 2 diabetes mellitus or normal or impaired fasting glucose. Diabetes Technol Ther. 2010; 12(11): 895-900. doi: 10.1089/dia.2010.0083

Maki KC, Kelley KM, Lawless AL, et al. Validation of insulin sensitivity and secretion indices derived from the liquid meal tolerance test. Diabetes Technol Ther. 2011; 13(6): 661-666. doi: 10.1089/dia.2010.0240

Bergman RN, Ider YZ, Bowden CR, Cobelli C. Quantitative estimation of insulin sensitivity. Am J Physiol. 1979; 236(6): E667-E677.

Matsuda M, DeFronzo RA. Insulin sensitivity indices ob-tained from oral glucose tolerance testing: comparison with the euglycemic insulin clamp. Diabetes Care. 1999; 22(9): 1462- 1470. doi: 10.2337/diacare.22.9.1462

Aloulou I, Brun JF, Mercier J. Evaluation of insulin sensitivity and glucose effectiveness during a standardized breakfast test: comparison with the minimal model analysis of an intravenous glucose tolerance test. Metabolism. 2006; 55(5): 676-690. doi: 10.1016/j.metabol.2006.01.002

Caumo A, Bergman RN, Cobelli C. Insulin sensitivity from meal tolerance tests in normal subjects: a minimal model index. J Clin Endocrinol Metab. 2000; 85(11): 4396-4402.

Muniyappa R, Lee S, Chen H, Quon MJ. Current approaches for assessing insulin sensitivity and resistance in vivo: advantages, limitations, and appropriate usage. Am J Physiol Endocrinol Me-tab. 2008; 294(1): E15-E26. doi: 10.1152/ajpendo.00645.2007

Steil GM, Hwu CM, Janowski R, et al. Evaluation of insulin sensitivity and beta-cell function indexes obtained from minimal model analysis of a meal tolerance test. Diabetes. 2004; 53(5): 1201-1207. doi: 10.2337/diabetes.53.5.1201

Abdul-Ghani MA, Matsuda M, Balas B, DeFronzo RA. Muscle and liver insulin resistance indexes derived from the oral glucose tolerance test. Diabetes Care. 2007; 30(1): 89-94. doi: 10.2337/dc06-1519

Maki KC, Pelkman CL, Finocchiaro ET, et al. Resistant starch from high-amylose maize increases insulin sensitivity in overweight and obese men. J Nutr. 2012; 142(4): 717-723. doi: 10.3945/jn.111.152975

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Published

2015-03-25

How to Cite

Chad M. Cook, Tia M. Rains, Kathleen Kelley, Andrea Lawless, & Arianne L. Schild. (2015). Reduced Sampling Schedules for Calculation of an Insulin Sensitivity Index from the Liquid Meal Tolerance Test. Diabetes Research, 1(1), 24–26. https://doi.org/10.17140/DROJ-1-104