Muscle and Liver Insulin Resistance Indexes Derived From the Oral Glucose Tolerance Test

Response to Bastard et al.

  1. Muhammad A Abdul-Ghani, MD, PHD,
  2. Masafumi Matsuda, MD,
  3. Bogdan Balas, MD and
  4. Ralph A. DeFronzo, MD
  1. From the Division of Diabetes, University of Texas Health Science Center, San Antonio, Texas
  1. Address correspondence to Ralph A. DeFronzo, MD, Diabetes Division, University of Texas Health Science Center, 7703 Floyd Curl Dr., San Antonio, TX 78229. E-mail: albarado{at}uthscsa.edu

Bastard et al. (1,2) have examined the correlation between the oral glucose tolerance test (OGTT)-derived muscle insulin resistance index and the total glucose disposal divided by the steady-state plasma insulin concentration (TGD/SSPI) during the euglycemic insulin clamp in obese postmenopausal women and reported a lower correlation coefficient (2) compared with that reported earlier in a more heterogeneous population (3). Further, the correlation between the OGTT-derived muscle insulin resistance index (3) and TGD/SSPI was not significantly …

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