ArticleFrontiers in endocrinology2025
Association of triglyceride glucose index with incident diabetes among individuals with normal fasting triglycerides and fasting plasma glucose values: a general population-based retrospective cohort study.
Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed.
- Insulin Resistance and Blood Pressure Control on Cognitive Outcomes.Hypertension (Dallas, Tex. : 1979) · 2026Trial
- A dose-response relationship between low-density lipoprotein cholesterol levels within the normal range and the incidence of diabetes mellitus: a retrospective cohort study.Frontiers in endocrinology · 2026Article
- Anthropometric and Metabolic Determinants of Multi-Organ Stress in Adults with Obesity: Application of the CaRaMeL-O Score.Healthcare (Basel, Switzerland) · 2025Article
- Association between triglyceride-glucose and triglyceride glucose body mass index with risk of prediabetes: a multicenter Chinese medical examination cohort study.Frontiers in endocrinology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: The triglyceride glucose (TyG) index has been proposed as a reliable surrogate marker for insulin resistance. Previous studies have demonstrated a significant positive association between the TyG index and diabetes risk. However, whether this association persists among individuals with normal fasting triglyceride (TG) and fasting plasma glucose (FPG) levels remains unclear. This study aims to evaluate the relationship between the TyG index and diabetes in this specific population utilizing a large-scale population-based dataset. Methods: A total of 155,337 subjects (74,622 males and 80,715 females) were included in this retrospective cohort study. The TyG index was calculated using the formula: ln [TG (mg/dL) × GLU (mg/dL)/2]. Cox regression analyses were utilized to estimate hazard ratios (HR) and 95% confidence intervals (CI). A generalized additive model (GAM), combined with smooth curve fitting, was employed to investigate potential nonlinear associations. Subgroup analyses were stratified by age, sex, body mass index, and family history of diabetes. Results: During a 3.13-year mean follow-up, 1127 subjects (0.73%) developed diabetes. After adjusting for confounding variables, subjects in the highest quartile of baseline TyG index exhibited an increased risk of diabetes compared to those in the lowest quartile (adjusted HR: 3.80; 95% CI: 2.41-5.99; P for trend < 0.001). Furthermore, a nonlinear threshold association was identified, with an inflection point at a TyG index value of 8.41. For subjects with a TyG index greater than 8.41, the adjusted HR was 15.33 (95% CI: 7.3-32.2, P < 0.001). Subgroup analysis revealed a stronger positive correlation in individuals aged <60 years. Discussion: This large-scale study demonstrates a robust independent association between the TyG index and diabetes risk in individuals with normal FPG and TG levels. Our findings suggest that a TyG index exceeding 8.41 correlates with a progressively higher risk of diabetes development. These results collectively suggest the TyG index could serve as a clinically relevant predictor of diabetes incidence in this population.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.