Literature DB >> 19579147

Feasibility of intravenous glucose tolerance testing prior to puberty.

Connie L Tompkins1, William Cefalu, Eric Ravussin, Michael Goran, Arlette Soros, Julia Volaufova, Alfonso Vargas, Melinda S Sothern.   

Abstract

OBJECTIVES: 1) Report the feasibility of completing the 180-minute Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT) in healthy weight, overweight and obese pre-pubertal children and, 2) describe the finalized FSIVGTT protocol after addendums were implemented to decrease the frequency of mild adverse events and improve test completion rates.
METHODS: Insulin sensitivity was determined by FSIVGTT.
RESULTS: FSIVGTT was attempted in a total of 22 study participants. Insulin sensitivity was successfully assessed in 15 study participants (8 males, 7 females, 10 Caucasian, 4 African American, 1 Pacific Islander, age range 7-9 years). Mean insulin sensitivity was 15.1+/-9.8 (mmicro/l)(-1) min(-1) range 4.4-43.2 (mmicro/l)(-1) min(-1). However, seven study participants experienced mild adverse events of hypoglycemia. Several addendums were made to the FSIVGTT protocol to ensure study participants' comfort and safety, and to decrease the frequency of mild adverse events and increase test completion rates.
CONCLUSIONS: Addendums made to FSIVGTT protocol allowed successful completion of FSIVGTT in 15 (68%) of the 22 children. These results demonstrate that FSIVGTT is challenging, yet feasible in healthy lean and obese pre-pubertal children.

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Year:  2010        PMID: 19579147      PMCID: PMC4366942          DOI: 10.3109/17477160903055937

Source DB:  PubMed          Journal:  Int J Pediatr Obes        ISSN: 1747-7166


  14 in total

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7.  Deterioration of insulin sensitivity and beta-cell function in overweight Hispanic children during pubertal transition: a longitudinal assessment.

Authors:  Michael I Goran; Gabriel Q Shaibi; Marc J Weigensberg; Jamie N Davis; Martha L Cruz
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8.  Equivalence of the insulin sensitivity index in man derived by the minimal model method and the euglycemic glucose clamp.

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6.  Inverse correlation of serum inflammatory markers with metabolic parameters in healthy, Black and White prepubertal youth.

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Journal:  Int J Obes (Lond)       Date:  2013-11-26       Impact factor: 5.095

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