Insulin resistance increases T2D risk, independent of BMI

Genetic score for insulin resistance linked to lower BMI and adiposity, incident type 2 diabetes.

Insulin resistance increases T2D risk, independent of BMI
Insulin resistance increases T2D risk, independent of BMI

HealthDay News -- A genetic score for insulin resistance is associated with lower body mass index and with incident type 2 diabetes, (T2D) even among patients of normal weight, according to a study published in Diabetes.

In order to examine the correlations of genetic scores with euglycemic-hyperinsulinemic clamp- and oral glucose tolerance test-based measures of insulin resistance and secretion, Robert A. Scott, PhD, of the University of Cambridge in the United Kingdom, and colleagues, studied 18,565 patients. Inspectors also examined the correlation between genetic variants and T2D risk among 8,124 normal-weight, overweight and obese incident T2D cases.

Insulin resistance score correlated with lower insulin sensitivity, as measured by M/I value (P=0.004), found the investigators. Significant correlations were seen for the insulin resistance score with lower BMI and gluteofemoral fat-mass, and with higher alanine transaminase and gamma-glutamyltransferase.

In leaner individuals, the secretion score was more strongly associated with T2D (P=0.001), but the association between insulin resistance score and T2D did not differ among BMI- or waist-strata (P>0.31).

"While insulin resistance is often considered secondary to obesity, the association of the insulin resistance score with lower BMI and adiposity and with incident T2D even among individuals of normal weight highlights the role of insulin resistance and ectopic fat distribution in T2D, independently of body size," wrote the researchers.

References

  1. Scott R et al. Diabetes. 2014; doi: 10.2337/db14-0319
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