Related Experiment Video
Updated: Aug 1, 2026

Hyperinsulinemic-euglycemic Clamps in Conscious, Unrestrained Mice
Published on: November 16, 2011
Decreased beta-cell function in overweight Latino children with impaired fasting glucose
Marc J Weigensberg1, Geoff D C Ball, Gabriel Q Shaibi
1Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA.
Insights
Overweight Latino children with impaired fasting glucose (IFG) show reduced beta-cell function, not insulin resistance. This suggests IFG may identify youth at risk for type 2 diabetes progression.
Area of Science:
- Pediatric Endocrinology
- Metabolic Health
- Diabetes Research
Background:
- Overweight Latino children with a family history of type 2 diabetes are a high-risk population.
- Impaired fasting glucose (IFG) is a potential precursor to type 2 diabetes.
- Understanding the underlying metabolic changes in IFG is crucial for early intervention.
Purpose of the Study:
- To investigate whether overweight Latino children with IFG exhibit increased insulin resistance or decreased beta-cell function compared to those with normal fasting glucose (NFG).
Main Methods:
- Study included 207 healthy overweight Latino children (8-13 years) with a family history of type 2 diabetes.
- Oral glucose tolerance tests assessed fasting and 2-hour glucose and insulin levels.
- Insulin sensitivity (S(i)), acute insulin response to glucose (AIRg), and disposition index (DI) were determined using the insulin-modified intravenous glucose tolerance test and minimal modeling.
Main Results:
- No significant differences in body composition were observed between IFG and NFG groups.
- Children with IFG had higher fasting/2-hour glucose and fasting insulin levels compared to NFG.
- After adjustments, IFG children showed no difference in S(i) but a 15% lower DI (P < 0.05) than NFG children.
Conclusions:
- In this cohort, IFG in overweight Latino adolescents is associated with impaired beta-cell function (lower DI), not insulin resistance.
- IFG may serve as an early indicator of children at risk for type 2 diabetes progression.
- Prospective studies are needed to confirm the progression risk of IFG to type 2 diabetes.
Objective:
To determine whether overweight Latino children with impaired fasting glucose (IFG) (> or = 100 mg/dl) have increased insulin resistance or decreased beta-cell function compared with those with normal fasting glucose (NFG).
Research Design And Methods:
We studied 207 healthy overweight Latino children, aged 8-13 years, with a family history of type 2 diabetes. Fasting and 2-h glucose and insulin were assessed by oral glucose tolerance test. Insulin sensitivity (S(i)), the acute insulin response to glucose (AIRg), and the disposition index (DI; an index of beta-cell function) were determined using the insulin-modified intravenous glucose tolerance test and minimal modeling. Body composition was determined by dual-energy X-ray absorptiometry.
Results:
There were no differences in body composition between NFG (n = 182) and IFG (n = 25) children. Compared with children with NFG, children with IFG had higher fasting and 2-h glucose values and higher fasting insulin. After adjusting for covariates, children with IFG had no difference in S(i) but 15% lower DI than NFG children (2,224 +/- 210 vs. 2,613 +/- 76, P < 0.05). Multivariate linear regression showed that AIRg and DI, but not S(i), were significant predictors of fasting blood glucose.
Conclusions:
In overweight Latino adolescents with a family history of type 2 diabetes, IFG is associated with impaired beta-cell function and therefore may identify children likely to be at risk for progression to type 2 diabetes. The actual risk of progression of IFG to type 2 diabetes remains to be determined by prospective longitudinal studies.
More Related Videos
Related Concept Videos
Carbohydrate Metabolism
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in the...
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Diabetes Mellitus: Type 2 and Gestational
Diabetes: Symptoms, Diagnosis, and Complications
Type II Diabetes I: Introduction
Type II Diabetes II: Pathophysiology

