Unveiling the Significance of Surrogate Markers of Insulin Resistance in Metabolic Health Assessment

Recent years have evidenced an alarming increase in the incidence of diabetes mellitus (DM) and other metabolic disorders. Rapid urbanization and lifestyle changes have been the major factors for this increase. Early diagnosis is the key to better risk stratification and prompt management of these p...

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Main Authors: Najmunnissa, Kishorkumar M Guruswamy, Jadeppa Gowda, Swetha N Kempegowda, Akila Prashant, Suma M Nataraj
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2024-05-01
Series:Indian Journal of Medical Biochemistry
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Online Access:https://www.ijmb.in/doi/IJMB/pdf/10.5005/jp-journals-10054-0227
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author Najmunnissa
Kishorkumar M Guruswamy
Jadeppa Gowda
Swetha N Kempegowda
Akila Prashant
Suma M Nataraj
author_facet Najmunnissa
Kishorkumar M Guruswamy
Jadeppa Gowda
Swetha N Kempegowda
Akila Prashant
Suma M Nataraj
author_sort Najmunnissa
collection DOAJ
description Recent years have evidenced an alarming increase in the incidence of diabetes mellitus (DM) and other metabolic disorders. Rapid urbanization and lifestyle changes have been the major factors for this increase. Early diagnosis is the key to better risk stratification and prompt management of these patients. Insulin resistance (IR) plays a pivotal role in the pathogenesis of various metabolic disorders. Assessing the IR in the initial stages would therefore help in early detection of patients who are susceptible to metabolic disorders. The hyperinsulinemic-euglycemic clamp technique has been the gold standard method for assessing IR. The major limitation of this technique is it is invasive and requires a specialized setup. Hence, identifying reliable surrogate markers for assessing IR is the need of the hour both in clinical and research settings. This review delves into the current knowledge of surrogate markers utilized to assess IR, providing a comprehensive overview of their strengths, limitations, and emerging trends. We explore commonly employed surrogate markers such as fasting insulin, homeostatic model assessment-insulin resistance (HOMA-IR), adiponectin, triglyceride-to-glucose index, etc. The search for accurate and cost-effective surrogate markers holds significant promise for early detection, risk stratification, and targeted interventions. This review aims to contribute to the existing knowledge on IR and highlight future directions in the quest for effective markers for IR.
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institution Kabale University
issn 2456-5164
language English
publishDate 2024-05-01
publisher Jaypee Brothers Medical Publisher
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series Indian Journal of Medical Biochemistry
spelling doaj-art-c68b6bf085d44f65b03843a35eb68e942025-01-03T07:49:04ZengJaypee Brothers Medical PublisherIndian Journal of Medical Biochemistry2456-51642024-05-0128253010.5005/jp-journals-10054-02271Unveiling the Significance of Surrogate Markers of Insulin Resistance in Metabolic Health AssessmentNajmunnissa0Kishorkumar M Guruswamy1Jadeppa Gowda2https://orcid.org/0009-0001-9490-3192Swetha N Kempegowda3https://orcid.org/0000-0002-3163-7405Akila Prashant4Suma M Nataraj5https://orcid.org/0000-0002-2614-5377Department of Biochemistry, JSS Medical College and Hospital, Mysuru, Karnataka, IndiaDepartment of Biochemistry, JSS Medical College and Hospital, Mysuru, Karnataka, IndiaDepartment of Biochemistry, JSS Medical College and Hospital, Mysuru, Karnataka, IndiaSwetha N Kempegowda, Department of Biochemistry, JSS Medical College and Hospital, Mysuru, Karnataka, India, Phone: +91 9886403651Department of Biochemistry, JSS Medical College and Hospital, Mysuru, Karnataka, IndiaDepartment of Biochemistry, JSS Medical College and Hospital, Mysuru, Karnataka, IndiaRecent years have evidenced an alarming increase in the incidence of diabetes mellitus (DM) and other metabolic disorders. Rapid urbanization and lifestyle changes have been the major factors for this increase. Early diagnosis is the key to better risk stratification and prompt management of these patients. Insulin resistance (IR) plays a pivotal role in the pathogenesis of various metabolic disorders. Assessing the IR in the initial stages would therefore help in early detection of patients who are susceptible to metabolic disorders. The hyperinsulinemic-euglycemic clamp technique has been the gold standard method for assessing IR. The major limitation of this technique is it is invasive and requires a specialized setup. Hence, identifying reliable surrogate markers for assessing IR is the need of the hour both in clinical and research settings. This review delves into the current knowledge of surrogate markers utilized to assess IR, providing a comprehensive overview of their strengths, limitations, and emerging trends. We explore commonly employed surrogate markers such as fasting insulin, homeostatic model assessment-insulin resistance (HOMA-IR), adiponectin, triglyceride-to-glucose index, etc. The search for accurate and cost-effective surrogate markers holds significant promise for early detection, risk stratification, and targeted interventions. This review aims to contribute to the existing knowledge on IR and highlight future directions in the quest for effective markers for IR.https://www.ijmb.in/doi/IJMB/pdf/10.5005/jp-journals-10054-0227adiponectinhomeostatic model assessment-insulin resistanceinsulin resistancemetabolic health assessmentsurrogate markerstriglycerides and glucose index
spellingShingle Najmunnissa
Kishorkumar M Guruswamy
Jadeppa Gowda
Swetha N Kempegowda
Akila Prashant
Suma M Nataraj
Unveiling the Significance of Surrogate Markers of Insulin Resistance in Metabolic Health Assessment
Indian Journal of Medical Biochemistry
adiponectin
homeostatic model assessment-insulin resistance
insulin resistance
metabolic health assessment
surrogate markers
triglycerides and glucose index
title Unveiling the Significance of Surrogate Markers of Insulin Resistance in Metabolic Health Assessment
title_full Unveiling the Significance of Surrogate Markers of Insulin Resistance in Metabolic Health Assessment
title_fullStr Unveiling the Significance of Surrogate Markers of Insulin Resistance in Metabolic Health Assessment
title_full_unstemmed Unveiling the Significance of Surrogate Markers of Insulin Resistance in Metabolic Health Assessment
title_short Unveiling the Significance of Surrogate Markers of Insulin Resistance in Metabolic Health Assessment
title_sort unveiling the significance of surrogate markers of insulin resistance in metabolic health assessment
topic adiponectin
homeostatic model assessment-insulin resistance
insulin resistance
metabolic health assessment
surrogate markers
triglycerides and glucose index
url https://www.ijmb.in/doi/IJMB/pdf/10.5005/jp-journals-10054-0227
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