The triglyceride-glucose index as a surrogate measure to assess glycemic control in type 2 diabetes patients.

IF 1.7 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Irish Journal of Medical Science Pub Date : 2025-01-27 DOI:10.1007/s11845-025-03893-9

Luis E Simental-Mendía, Francisco G Morales-Gurrola, Laura Jazel Barragán-Zúñiga

{"title":"The triglyceride-glucose index as a surrogate measure to assess glycemic control in type 2 diabetes patients.","authors":"Luis E Simental-Mendía, Francisco G Morales-Gurrola, Laura Jazel Barragán-Zúñiga","doi":"10.1007/s11845-025-03893-9","DOIUrl":null,"url":null,"abstract":"Background: It has been revealed that the potential utility of the triglycerides and glucose (TyG) index as an effective option for assessing glycemic control; however, evidence in this field is still scarce.Aims: The goal of this study was to investigate the diagnostic accuracy of the TyG index, as an alternative option, to detect inadequate glycemic control in patients with type 2 diabetes (T2D).Methods: Men and women between 30 and 60 years of age diagnosed with type 2 diabetes were included in a cross-sectional study. Exclusion criteria were smoking, alcohol intake, pregnancy, type 1 diabetes, cancer, autoimmune diseases, active infections, kidney disease, and incomplete data. According to the glycated hemoglobin (HbA1c) concentration, patients were allocated into the groups with optimal (< 7.0%) and deficient (≥ 7.0%) glycemic control.Results: In total, 129 patients aged 51.1 ± 6.6 years were included in this study. The logistic regression analysis adjusted by age, sex, body mass index, waist circumference, and time of diabetes diagnosis revealed that the TyG index is strongly associated with deficient glycemic control (OR = 86.6; 95% CI: 12.9 - 576.9). The best cut-off point of the TyG index for identifying inadequate glucose control was 4.93, which showed the highest sensitivity (80%) and specificity (67%) values. Additionally, the positive and negative predictive values were 71% and 74%, while the positive and negative likelihood ratios were 1.68 and 0.41, respectively.Conclusion: The results of our study suggest that the TyG index may be used as an optional test for assessing glycemic control in patients with T2D.","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Irish Journal of Medical Science","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11845-025-03893-9","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background: It has been revealed that the potential utility of the triglycerides and glucose (TyG) index as an effective option for assessing glycemic control; however, evidence in this field is still scarce.

Aims: The goal of this study was to investigate the diagnostic accuracy of the TyG index, as an alternative option, to detect inadequate glycemic control in patients with type 2 diabetes (T2D).

Methods: Men and women between 30 and 60 years of age diagnosed with type 2 diabetes were included in a cross-sectional study. Exclusion criteria were smoking, alcohol intake, pregnancy, type 1 diabetes, cancer, autoimmune diseases, active infections, kidney disease, and incomplete data. According to the glycated hemoglobin (HbA1c) concentration, patients were allocated into the groups with optimal (< 7.0%) and deficient (≥ 7.0%) glycemic control.

Results: In total, 129 patients aged 51.1 ± 6.6 years were included in this study. The logistic regression analysis adjusted by age, sex, body mass index, waist circumference, and time of diabetes diagnosis revealed that the TyG index is strongly associated with deficient glycemic control (OR = 86.6; 95% CI: 12.9 - 576.9). The best cut-off point of the TyG index for identifying inadequate glucose control was 4.93, which showed the highest sensitivity (80%) and specificity (67%) values. Additionally, the positive and negative predictive values were 71% and 74%, while the positive and negative likelihood ratios were 1.68 and 0.41, respectively.

Conclusion: The results of our study suggest that the TyG index may be used as an optional test for assessing glycemic control in patients with T2D.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Irish Journal of Medical Science 医学-医学：内科

CiteScore

3.70

自引率

4.80%

发文量

357

审稿时长

4-8 weeks

期刊介绍： The Irish Journal of Medical Science is the official organ of the Royal Academy of Medicine in Ireland. Established in 1832, this quarterly journal is a contribution to medical science and an ideal forum for the younger medical/scientific professional to enter world literature and an ideal launching platform now, as in the past, for many a young research worker. The primary role of both the Academy and IJMS is that of providing a forum for the exchange of scientific information and to promote academic discussion, so essential to scientific progress.