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Table 2 Calculated cut-off values for fasting indices based on receiver operating characteristic curve and Youden’s index analyses using the euglycemic hyperinsulinemic clamp (M index) as the reference for diagnosing insulin resistance

From: Evaluation of fasting plasma insulin and proxy measurements to assess insulin sensitivity in horses

Variable

Cut-off values to predict IR

AUC

Sn% (95 % CI)

Sp% (95 % CI

Insulin sensitivity:

 1/Insulin (mL/µIU)

< 0.11

0.94 (0.88–0.99)

91 (77–97)

85 (66–94)

 RISQI ([µIU/ml]−0.5)

< 0.32

0.94 (0.88–0.99)

91 (77–97)

85 (66–94)

 QUICKI

< 0.33

0.93 (0.87–0.99)

85 (70–94)

85 (67–94)

β-cell response:

 FI (µIU/mL)

> 9.5

0.94 (0.88–0.99)

91 (77–97)

85 (66–94)

 MIRG ([µIUins]2 /[10•L• mggluc])

> 4.4

0.93 (0.87–0.99)

88 (73–95)

85 (66–93)

 HOMA-β

> 147

0.94 (0.88–0.99)

79 (63–90)

96 (81–100)

  1. RISQI reciprocal of the square root of insulin; QUICKI quantitative insulin sensitivity check index; FI fasting insulin concentration; MIRG modified insulin-to-glucose ration; HOMA-β homeostatic model assessment of β-cell function; AUC area under the curve; Sn sensitivity; Sp specificity; CI confidence interval