BACKGROUND/AIMS: We investigated the associations among body mass index (BMI), insulin resistance, and beta-cell function in Korean patients newly presenting with type 2 diabetes. METHODS: In total, 132 patients with new-onset type 2 diabetes mellitus were investigated. A standard 75-g oral glucose tolerance test was performed, and the indices of insulin secretion and insulin resistance were calculated. RESULTS: A higher BMI was associated with higher homeostasis model assessment values for insulin resistance (HOMA-IR), homeostasis model assessment of beta-cell function (HOMA-beta), and insulinogenic index as well as lower levels of insulin sensitivity index composite (ISIcomp) and disposition index (DI). In multiple regression models, BMI had independent positive associations with HOMA-IR, ISIcomp, and HOMA-beta and inverse associations with the DI. CONCLUSIONS: Our results showed that BMI had independent positive associations with indices of insulin resistance and an inverse association with beta-cell function adjusted for insulin resistance in Korean patients newly presenting with type 2 diabetes.
*Asian Continental Ancestry Group ; Biological Markers/blood ; Blood Glucose/metabolism ; *Body Mass Index ; Diabetes Mellitus, Type 2/blood/diagnosis/*ethnology/physiopathology ; Female ; Glucose Tolerance Test ; Hemoglobin A, Glycosylated/metabolism ; Humans ; Insulin/blood ; Insulin Resistance/*ethnology ; Insulin-Secreting Cells/*metabolism ; Linear Models ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Predictive Value of Tests ; Republic of Korea/epidemiology ; Risk Assessment ; Risk Factors