Research article - Peer-reviewed, 2020
Repeatability of the hyperglycaemic clamp for assessment of beta-cell response and insulin sensitivity in horses
Lindase, S.; Johansson, H.; Mansby, M.; Brojer, J.Abstract
Background: The hyperglycaemic clamp has been used for measurement of insulin sensitivity (IS) but not for measurement of beta-cell response in the horse. However, the repeatability of this test has not been reported for horses.Objectives: To determine the repeatability and reliability of measures for IS and beta-cell response to glucose using the hyperglycaemic clamp in horses.Study design: Repeated measures, longitudinal study.Methods: Six healthy Standardbred mares underwent a 120-min hyperglycaemic clamp on two occasions with a 10-day washout period. Indices of repeatability and reliability were calculated from measures of IS and beta-cell response to glucose derived from each hyperglycaemic clamp.Results: Measures of b-cell response to glucose, including area under the insulin response curve in the time interval 0-120 min and during steady state (60-120 min), as well as the mean insulin concentration during steady state had coefficient of variations (CV) of 9.5, 10.5 and 9.3 respectively and intraclass correlation coefficients (ICC) of 0.93, 0.93 and 0.95 respectively. The measure of glucose disposal (M) had lower CV (12.4) and ICC (0.71) compared to measure of IS (M/I-index; CV of 17.4 and ICC of 0.89).Main limitations: The study was conducted in a small number of horses.Conclusions: The hyperglycaemic clamp is a diagnostic method for assessing b-cell response to intravenous glucose with high repeatability and reliability. Insulin sensitivity can be determined with the same test but the repeatability for these measurements is lower compared to the measurements for b-cell response.Keywords
horse; glucose; hyperinsulinaemia; insulin dysregulation; insulin resistancePublished in
Equine Veterinary Journal2020, volume: 52, number: 1, pages: 126-130
Publisher: WILEY
Authors' information
Swedish University of Agricultural Sciences, Department of Clinical Sciences
Johansson, Helena
Swedish University of Agricultural Sciences, Department of Clinical Sciences
Månsby, Maja
Swedish University of Agricultural Sciences, Department of Clinical Sciences
Swedish University of Agricultural Sciences, Department of Clinical Sciences
UKÄ Subject classification
Clinical Science
Publication Identifiers
DOI: https://doi.org/10.1111/evj.13119
URI (permanent link to this page)
https://res.slu.se/id/publ/110924