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. 2022 Dec 15;13:1092431. doi: 10.3389/fendo.2022.1092431

Table 1.

Four normal methods for assessment of IR in clinical.

Name Method advantage Disadvantage
HOMA-IR (Plasma insulin during fasting × plasma glucose during fasting)/22.5 Simple, minimally invasive, predicts fasting steady-state glucose and insulin levels limitations because of significant heterogeneity of cut-off value and IR definitions; HOMA-IR may not be appropriate in patients with severely impaired or absent β-cell function
OGTT After the overnight fast, fasting blood glucose levels were measured and then remeasured at the time point after drinking 75 g of glucose solution. Simple, minimally invasive Relatively crude measurement of glucose tolerance without measuring insulin sensitivity and insulin secretion components
C-peptide release test After the overnight fast, fasting blood C-peptide levels were measured and then remeasured at the time point after drinking 75 g of glucose solution. Simple, minimally invasive; Long half-life; It is not interfered with by insulin antibodies and can more accurately reflect the patient’s β-cell function. Relatively crude; Needs to be analyzed in conjunction with blood glucose and insulin
TyG index Fasting triglyceride [mg/dL] × fasting glucose [mg/dL]/2 Simple, minimally invasive; Suitable for clinical and epidemiological studies limitations because of significant heterogeneity of cut-off value and IR definitions

HOMA-IR, Homeostasis model assessment of IR; OGTT, oral glucose tolerance tests; TyG index, triglyceride glucose index. IR, insulin resistance.