被低估的胰岛素抵抗测试联盟:揭示其重要性。

IF 1.1 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Hormone Molecular Biology and Clinical Investigation Pub Date : 2024-08-08 DOI:10.1515/hmbci-2023-0061
Komal Rani, Parag Patil, Prahalad Bharti, Saroj Kumar, Shailaja Prabhala
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引用次数: 0

摘要

2 型糖尿病、肥胖症和其他一些代谢性疾病在很大程度上都可归因于胰岛素抵抗问题。及时准确地诊断胰岛素抵抗对于充分控制和干预代谢紊乱至关重要。目前已开发出多种诊断方法来评估胰岛素抵抗。然而,每种方法都各有利弊。最精确的检测方法是高胰岛素血糖钳夹法,它可以检测胰岛素对组织摄取葡萄糖的直接影响。然而,由于其复杂性和侵入性,该方法主要用于研究。胰岛素抵抗静态模型评估(HOMA-IR)和胰岛素敏感性定量检查指数(QUICKI)是临床上使用第二多的胰岛素抵抗测试。这些测试以测量空腹血糖和胰岛素水平为基础。口服葡萄糖耐量试验(OGTT)、胰岛素耐量试验和松田指数是进一步了解胰岛素敏感性的诊断程序。改进后的技术,如胰岛素抑制试验和最小模型分析,可替代独特的临床情况。此外,在这些测试中加入额外的测量指标,如腰围、血脂概况和炎症指标,也能改善对胰岛素抵抗的评估。总之,识别胰岛素抵抗对于早期发现和治疗各种代谢性疾病至关重要。为了做出明智的判断并改善对患者的护理,医护人员应了解各种可用的诊断测试及其在不同情况下的使用方法。胰岛素抵抗的检测和监测需要进一步研究,以改进目前的诊断方法,并开发新的、侵入性较低的技术。
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The undervalued league of insulin resistance testing: uncovering their importance.

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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来源期刊
Hormone Molecular Biology and Clinical Investigation
Hormone Molecular Biology and Clinical Investigation BIOCHEMISTRY & MOLECULAR BIOLOGY-
CiteScore
2.60
自引率
0.00%
发文量
55
期刊介绍: Hormone Molecular Biology and Clinical Investigation (HMBCI) is dedicated to the provision of basic data on molecular aspects of hormones in physiology and pathophysiology. The journal covers the treatment of major diseases, such as endocrine cancers (breast, prostate, endometrium, ovary), renal and lymphoid carcinoma, hypertension, cardiovascular systems, osteoporosis, hormone deficiency in menopause and andropause, obesity, diabetes, brain and related diseases, metabolic syndrome, sexual dysfunction, fetal and pregnancy diseases, as well as the treatment of dysfunctions and deficiencies. HMBCI covers new data on the different steps and factors involved in the mechanism of hormone action. It will equally examine the relation of hormones with the immune system and its environment, as well as new developments in hormone measurements. HMBCI is a blind peer reviewed journal and publishes in English: Original articles, Reviews, Mini Reviews, Short Communications, Case Reports, Letters to the Editor and Opinion papers. Ahead-of-print publishing ensures faster processing of fully proof-read, DOI-citable articles.
期刊最新文献
Associations of serum levels of cGAMP in the context of COVID-19 infection, atherosclerosis, sterile inflammation, and functional endothelial biomarkers in patients with coronary heart disease and healthy volunteers. Hormonal disorders in autism spectrum disorders. Crosstalk between miRNAs and signaling pathways in the development of drug resistance in breast cancer. Endothelial cell phenotype is linked to endothelial dysfunction in individuals with a family history of type 2 diabetes. Climate change, vitamin D and the viking abandonment in Greenland.
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