Article Text
Statistics from Altmetric.com
We read with interest the recent article by Svegliati-Baroni et al (Gut 2007;56:1296–301) regarding the differential relationships between different indices of insulin resistance and the severity of hepatic fibrosis in patients with non-alcoholic fatty liver disease (NAFLD) or chronic hepatitis C (CHC) with various degrees of glucose tolerance.
Notably, they found that post-load insulin resistance (by the oral glucose sensitivity index, OGIS) was independently associated with advanced fibrosis in both NAFLD and CHC, whereas the degree of basal insulin resistance (by the homeostasis model assessment, HOMA) was not. They conclude that OGIS index is an easy and reliable tool to identify patients with insulin resistance-associated hepatic fibrosis, and should be part of the general screening in these patients.
OGIS requires glucose …