Associations among body mass index, insulin resistance, and pancreatic β-cell function in Korean patients with new-onset type 2 diabetes

Korean J Intern Med. 2012 Mar;27(1):66-71. doi: 10.3904/kjim.2012.27.1.66. Epub 2012 Feb 28.

Abstract

Background/aims: We investigated the associations among body mass index (BMI), insulin resistance, and β-cell function in Korean patients newly presenting with type 2 diabetes.

Methods: In total, 132 patients with new-onset type 2 diabetes mellitus were investigated. A standard 75-g oral glucose tolerance test was performed, and the indices of insulin secretion and insulin resistance were calculated.

Results: A higher BMI was associated with higher homeostasis model assessment values for insulin resistance (HOMA-IR), homeostasis model assessment of β-cell function (HOMA-β), and insulinogenic index as well as lower levels of insulin sensitivity index composite (ISI(comp)) and disposition index (DI). In multiple regression models, BMI had independent positive associations with HOMA-IR, ISI(comp), and HOMA-β and inverse associations with the DI.

Conclusions: Our results showed that BMI had independent positive associations with indices of insulin resistance and an inverse association with β-cell function adjusted for insulin resistance in Korean patients newly presenting with type 2 diabetes.

Keywords: Body mass index; Diabetes mellitus, type 2; Insulin resistance; Secretion.

MeSH terms

  • Asian People*
  • Biomarkers / blood
  • Blood Glucose / metabolism
  • Body Mass Index*
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / ethnology*
  • Diabetes Mellitus, Type 2 / physiopathology
  • Female
  • Glucose Tolerance Test
  • Glycated Hemoglobin / metabolism
  • Humans
  • Insulin / blood
  • Insulin Resistance / ethnology*
  • Insulin-Secreting Cells / metabolism*
  • Linear Models
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Predictive Value of Tests
  • Republic of Korea / epidemiology
  • Risk Assessment
  • Risk Factors

Substances

  • Biomarkers
  • Blood Glucose
  • Glycated Hemoglobin A
  • Insulin
  • hemoglobin A1c protein, human