Insulin Sensitivity Does Not Account for Differences in Type 2 Diabetes Incidence Between San Antonio, Texas and Mexico City, Mexico
- James P. Burke, PHD1,
- Ken Williams, MS2,
- Steven M. Haffner, MD2,
- Clicerio Gonzalez Villalpando, MD, FACP3 and
- Michael P. Stern, MD2
- 1Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota
- 2Department of Medicine, Division of Clinical Epidemiology, University of Texas Health Sciences Center at San Antonio, Texas
- 3Centro de Estudios en Diabetes, the American British Cowdry Medical Center, Unidad de Investigacion Medica en Enfermedades Metabolicas, Hospital “Bernando Sepúlveda”, Instituto Mexicano del Seguro Social, Juárez, Mexico
We would like to thank Belfiore and Iannello (1) for their interesting questions regarding our study (2). We agree that lower insulin sensitivity in the San Antonio, Texas population could have contributed to the elevated incidence in this population compared with the Mexico City, Mexico population. Drs. Belfiore and Iannello calculated their insulin sensitivity index using the mean fasting and 2-h insulin values from …
