• Saudi Med J · Feb 2025

    Observational Study

    Concordance between homeostatic model assessment and triglyceride glucose index in assessing insulin resistance among HIV-infected patients.

    • Gokcen Gurkok Budak, Aslı Vatan, Ertuğrul Güçlü, and Oğuz Karabay.
    • From the Department of Infectious Diseases and Clinical Microbiology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
    • Saudi Med J. 2025 Feb 1; 46 (2): 157162157-162.

    ObjectivesTo evaluate the concordance between the triglyceride glucose (TyG) index and the homeostatic model assessment of insulin resistance (HOMA-IR) in assessing insulin resistance (IR) in people living with HIV (PLWH). Additionally, we aimed to estimate a cut-off value for the TyG index in PLWH.MethodsThis retrospective, observational study included medical records of patients diagnosed with HIV at Sakarya Training and Research Hospital from January 2019 to January 2024. Based on their HOMA-IR levels, PLWH patients were divided into 2 groups: Group A (patients without IR) and Group B (patients with IR).ResultsIn this study, insulin resistance was investigated in 147 people living with HIV (PLWH) between the ages of 18-68. Our results showed a significant positive linear relationship between HOMA-IR and the TyG index (r=0.628, p<0.001). We found the TyG Index cut-off value to predict IR in people living with HIV (PLWH) to be 8.25.ConclusionOur study identified correlation between the TyG index and HOMA IR index in PLWH. The TyG index may serve as an effective alternative to HOMA-IR for evaluating insulin resistance in PLWH.".Copyright: © Saudi Medical Journal.

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