Precisión diagnóstica de la resistencia a la insulina en diabetes y prediabetes

Fiorella E. Zuzunaga-Montoya; Luisa Erika Milagros Vásquez-Romero; Joan A. Loayza-Castro; Carmen Inés Gutierrez De Carrillo; Enrique Vigil-Ventura; Víctor Juan Vera-Ponce

Precisión diagnóstica de la resistencia a la insulina en diabetes y prediabetes

Fiorella E. Zuzunaga-Montoya
, Luisa Erika Milagros Vásquez-Romero
, Joan A. Loayza-Castro
, Carmen Inés Gutierrez De Carrillo
, Enrique Vigil-Ventura
, Víctor Juan Vera-Ponce

EAP Medicina humana

Producción científica: Artículo Científico › Artículo original › revisión exhaustiva

Resumen

Introduction: It has been suggested that the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) could serve as an additional test to support and complement existing tests for hyperglycemic states. Objective: To determine the diagnostic capacity of HOMA-IR for Type 2 diabetes mellitus (T2DM) and prediabetes. Methods: Diagnostic test study. Both were measured according to elevated fasting; postprandial, and glycosylated hemoglobin levels. The receiver operating characteristic curve (ROC) along with its corresponding area under the curve (AUC) was used to evaluate diagnostic efficacy. Sensitivity and specificity metric were calculated. Results: The prevalence of prediabetes and T2DM were 18.82% and 10.52%, respectively. The median HOMA-IR was 1.33. HOMA-IR had an AUC of 0.843

Título traducido de la contribución	Diagnostic Accuracy of Insulin Resistance in Diabetes and Prediabetes
Idioma original	Español
-	e025059955
Publicación	Revista Cubana de Medicina Militar
Volumen	54
N.º	2
Estado	Indizado - abr. 2025

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© 2025 Editorial Ciencias Medicas. All rights reserved.

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title = "Precisi{\'o}n diagn{\'o}stica de la resistencia a la insulina en diabetes y prediabetes",

abstract = "Introduction: It has been suggested that the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) could serve as an additional test to support and complement existing tests for hyperglycemic states. Objective: To determine the diagnostic capacity of HOMA-IR for Type 2 diabetes mellitus (T2DM) and prediabetes. Methods: Diagnostic test study. Both were measured according to elevated fasting; postprandial, and glycosylated hemoglobin levels. The receiver operating characteristic curve (ROC) along with its corresponding area under the curve (AUC) was used to evaluate diagnostic efficacy. Sensitivity and specificity metric were calculated. Results: The prevalence of prediabetes and T2DM were 18.82\% and 10.52\%, respectively. The median HOMA-IR was 1.33. HOMA-IR had an AUC of 0.843",

author = "Zuzunaga-Montoya, \{Fiorella E.\} and V{\'a}squez-Romero, \{Luisa Erika Milagros\} and Loayza-Castro, \{Joan A.\} and Carrillo, \{Carmen In{\'e}s Gutierrez De\} and Enrique Vigil-Ventura and Vera-Ponce, \{V{\'i}ctor Juan\}",

year = "2025",

month = apr,

language = "Espa{\~n}ol",

volume = "54",

journal = "Revista Cubana de Medicina Militar",

issn = "0138-6557",

publisher = "Editorial Ciencias Medicas",

number = "2",

}

TY - JOUR

T1 - Precisión diagnóstica de la resistencia a la insulina en diabetes y prediabetes

AU - Zuzunaga-Montoya, Fiorella E.

AU - Vásquez-Romero, Luisa Erika Milagros

AU - Loayza-Castro, Joan A.

AU - Carrillo, Carmen Inés Gutierrez De

AU - Vigil-Ventura, Enrique

AU - Vera-Ponce, Víctor Juan

PY - 2025/4

Y1 - 2025/4

N2 - Introduction: It has been suggested that the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) could serve as an additional test to support and complement existing tests for hyperglycemic states. Objective: To determine the diagnostic capacity of HOMA-IR for Type 2 diabetes mellitus (T2DM) and prediabetes. Methods: Diagnostic test study. Both were measured according to elevated fasting; postprandial, and glycosylated hemoglobin levels. The receiver operating characteristic curve (ROC) along with its corresponding area under the curve (AUC) was used to evaluate diagnostic efficacy. Sensitivity and specificity metric were calculated. Results: The prevalence of prediabetes and T2DM were 18.82% and 10.52%, respectively. The median HOMA-IR was 1.33. HOMA-IR had an AUC of 0.843

AB - Introduction: It has been suggested that the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) could serve as an additional test to support and complement existing tests for hyperglycemic states. Objective: To determine the diagnostic capacity of HOMA-IR for Type 2 diabetes mellitus (T2DM) and prediabetes. Methods: Diagnostic test study. Both were measured according to elevated fasting; postprandial, and glycosylated hemoglobin levels. The receiver operating characteristic curve (ROC) along with its corresponding area under the curve (AUC) was used to evaluate diagnostic efficacy. Sensitivity and specificity metric were calculated. Results: The prevalence of prediabetes and T2DM were 18.82% and 10.52%, respectively. The median HOMA-IR was 1.33. HOMA-IR had an AUC of 0.843

UR - https://www.scopus.com/pages/publications/105022209382

M3 - Artículo original

AN - SCOPUS:105022209382

SN - 0138-6557

VL - 54

JO - Revista Cubana de Medicina Militar

JF - Revista Cubana de Medicina Militar

IS - 2

M1 - e025059955

ER -

Precisión diagnóstica de la resistencia a la insulina en diabetes y prediabetes

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