Evidence map›Paper›PMID 37914981›Full record

ArticleDiabetologia2024

HOMA-IR and the Matsuda Index as predictors of progression to type 1 diabetes in autoantibody-positive relatives.

Alessandra Petrelli, Federica Cugnata, Debora Carnovale, Emanuele Bosi, Ingrid M Libman, Lorenzo Piemonti, David Cuthbertson, Jay M Sosenko

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Article in Diabetologia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

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21citing papers in PubMed
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3 · Its place in the literature

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21 citing papers in PubMed.

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  17. Nutrients · 2024
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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Alessandra PetrelliDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy. petrelli.alessandra@hsr.it.ORCID 0000-0002-5639-9415
Federica CugnataDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Debora CarnovaleDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Emanuele BosiDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Ingrid M LibmanDivision of Endocrinology, Diabetes and Metabolism, University of Pittsburgh and UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Lorenzo PiemontiDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
David CuthbertsonHealth Informatics Institute, University of South Florida, Tampa, FL, USA.
Jay M SosenkoDivision of Endocrinology, Diabetes, and Metabolism, University of Miami, Miami, FL, USA.

Funding

Juvenile Diabetes Research Foundation International Dr. Petrelli is supported by the Juvenile Diabetes
6 · The paper itself

Abstract

aim/hypothesisWe assessed whether HOMA-IR and the Matsuda Index are associated with transitions through stages of type 1 diabetes.

methodsAutoantibody (AAb)-positive relatives of individuals with type 1 diabetes (n=6256) from the TrialNet Pathway to Prevention were studied. Associations of indicators of insulin resistance (HOMA-IR) and insulin sensitivity (Matsuda Index) with BMI percentile (BMIp) and age were assessed with adjustments for measures of insulin secretion, Index60 and insulinogenic index (IGI). Cox regression was used to determine if tertiles of HOMA-IR and Matsuda Index predicted transitions from Not Staged (<2 AAbs) to Stage 1 (≥2 AAbs and normoglycaemia), from Stage 1 to Stage 2 (≥2 AAbs with dysglycaemia), and progression to Stage 3 (diabetes as defined by WHO/ADA criteria).

resultsThere were strong associations of HOMA-IR (positive) and Matsuda Index (inverse) with baseline age and BMIp (p<0.0001). After adjustments for Index60, transitioning from Stage 1 to Stage 2 was associated with higher HOMA-IR and lower Matsuda Index (HOMA-IR: HR=1.71, p<0.0001; Matsuda Index, HR=0.40, p<0.0001), as with progressing from Stages 1 or 2 to Stage 3 (HOMA-IR: HR=1.98, p<0.0001; Matsuda Index: HR=0.46, p<0.0001). Without adjustments, associations of progression to Stage 3 were inverse for HOMA-IR and positive for Matsuda Index, opposite in directionality with adjustments. When IGI was used in place of Index60, the findings were similar. CONCLUSIONS/

interpretationProgression to Stages 2 and 3 of type 1 diabetes increases with HOMA-IR and decreases with the Matsuda Index after adjustments for insulin secretion. Indicators of insulin secretion appear helpful for interpreting associations of progression to type 1 diabetes with HOMA-IR or the Matsuda Index in AAb-positive relatives.

Indexed as

Diabetes Mellitus, Type 1Insulin ResistanceAutoantibodiesBlood GlucoseHumansInsulinInsulin SecretionAutoantibodiesBlood GlucoseInsulinHOMAInsulin resistanceInsulin sensitivityProgression of type 1 diabetesStage 3Type 1 diabetes

Identifiers

PMID37914981
PMCPMC10789859

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