Type 2 & other diabetes

Disposition Index (DI)/cle, a Measure Consisting of Insulin Sensitivity, Secretion, and Clearance, Captures Diabetic States

J Clin Endocrinol MetabPublished Mechanistic study

Authors' conclusion

DI/cle can serve as a new indicator for the trajectory of changes in glucose tolerance.

Study context

Population
Subjects with normal glucose tolerance (NGT), impaired glucose tolerance (IGT) and T2D undergoing hyperglycemic clamp, hyperinsulinemic-euglycemic clamp and oral glucose tolerance test (OGTT)
Participants
47 / 16 / 49
Comparison
NGT vs IGT vs T2D
  • NGTn = 47
  • IGTn = 16
  • T2DMn = 49
Outcome
Relation of blood glucose to insulin sensitivity, secretion and clearance
Methodological detailsretrospective mathematical analysis, hyperglycemic clamp, hyperinsulinemic-euglycemic clamp and OGTT
  • Retrospective mathematical analysis
  • Hyperglycemic clamp, hyperinsulinemic-euglycemic clamp and OGTT

Main finding

As reported in the abstract

Correlation of disposition index (DI) with blood glucose in IGT (weak), r

0.04

95% CI −0.63 to 0.44

Further findings

Correlation of DI/cle estimated from simpler tests with DI/cle from 2 clamp tests

Hyperinsulinemic-euglycemic clamp, r
0.52 (95% CI 0.37 to 0.64)
OGTT, r
0.43 (95% CI 0.24 to 0.58)
Fasting blood test, r
0.54 (95% CI 0.38 to 0.68)
  • Significantly correlated

Original publication

DI/cle, a Measure Consisting of Insulin Sensitivity, Secretion, and Clearance, Captures Diabetic States. J Clin Endocrinol Metab. Published 5 July 2023. doi:10.1210/clinem/dgad392

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