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. 2012 Oct 13;35(11):2377–2383. doi: 10.2337/dc12-0701

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© 2012 by the American Diabetes Association.

Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.

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Correlations of compensatory insulin secretion and pancreatic TG levels, expressed as fat-to-water ratio (f/w %), across race/ethnic groups. The direct relationship between compensatory insulin secretion and pancreatic TG levels is specific to race/ethnicity. Black subjects (left), who have low levels of pancreatic TGs, have a robust compensatory insulin secretion that was predicted exclusively by pTG levels: AIR_g = 266 + 247 × pancreatic TGs. White subjects (middle), with higher levels of pancreatic steatosis, have suppressed compensatory insulin secretion compared with black subjects, but it still was predicted exclusively by pancreatic TG levels: AIR_g = 183 + 27 × pancreatic TGs. In Hispanic subjects (right), compensatory insulin secretion is entirely suppressed, and its direct relationship to pancreatic TGs is negative. In Hispanics, compensatory insulin secretion was predicted by a combination of visceral fat mass, pancreatic TGs, and hepatic TGs with negative contribution from pancreatic TG levels: AIR_g = 207 + 2 × visceral fat mass – 38 × pancreatic TG + 17 × hepatic TGs.