The undervalued league of insulin resistance testing: uncovering their importance.

Horm Mol Biol Clin Investig

Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Bibinagar, Hyderabad, India.

Published: August 2024

AI Article Synopsis

  • Insulin resistance is a key factor in metabolic diseases like Type 2 diabetes and obesity, making its accurate diagnosis vital for effective management.
  • Various diagnostic methods exist for assessing insulin resistance, with the hyperinsulinemic-euglycemic clamp being the most precise but primarily used in research due to its complexity, while simpler tests like HOMA-IR and QUICKI are more common in clinical settings.
  • Further research is necessary to enhance diagnostic techniques and develop less invasive options, and incorporating additional measurements can help improve the overall assessment of insulin resistance.

Article Abstract

Type 2 diabetes, obesity, and several other metabolic diseases are all largely attributed to the problem known as insulin resistance. Diagnosing insulin resistance promptly and accurately is essential for adequately managing and intervening in metabolic disorders. Several diagnostic methods have been developed to assess insulin resistance. However, each method has advantages and disadvantages. The most precise test is the hyperinsulinemic-euglycemic clamp, which examines the direct impact of insulin on glucose uptake by tissues. However, it is primarily utilized in research due to its complexity and intrusiveness. Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) and the Quantitative Insulin Sensitivity Check Index (QUICKI) are the second most used Insulin resistance tests in the clinical setup. These tests are based on measuring the fasting glucose and insulin levels. The Oral Glucose Tolerance Test (OGTT), Insulin tolerance test, and the Matsuda Index are further diagnostic procedures that shed light on insulin sensitivity. The improved techniques, such as the insulin suppression test and the minimal model analysis, provide substitutes for unique clinical circumstances. Additionally, including extra measurements with these tests, like waist circumference, lipid profiles, and inflammatory markers, can improve the evaluation of insulin resistance. In summary, identifying insulin resistance is essential for the early detection and treatment of various metabolic illnesses. To make educated judgments and improve patient care, healthcare workers should be aware of the different available diagnostic tests and how they are used in each situation. Insulin resistance detection and monitoring will require further study to improve current diagnostic approaches and create novel, less invasive techniques.

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Source
http://dx.doi.org/10.1515/hmbci-2023-0061DOI Listing

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