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Table 2 Substrate oxidation and metabolic flexibility values during a hyperinsulinemic euglycemic clamp

From: Metabolic inflexibility in women with PCOS is similar to women with type 2 diabetes

 

Basal (Fasted) State

Insulin Stimulated State

 

Normal BMI

Obese

T2DM

PCOS

Normal BMI

Obese

T2DM

PCOS

RQ

0.84 ± 0.03a

0.82 ± 0.02a

0.83 ± 0.05a

0.76 ± 0.04b

0.98 ± 0.04a

0.95 ± 0.04a

0.88 ± 0.05b

0.81 ± 0.05c

CHO Ox (mg/kgFFM/min)

1.79 ± 0.56a

1.47 ± 0.34a

1.71 ± 0.88a

0.68 ± 0.72b

4.51 ± 0.80a

3.50 ± 0.76a

2.68 ± 0.87b

1.60 ± 0.94c

CHO Ox (mg/kgFFM + 17.7/min)

1.29 ± 0.38a

1.11 ± 0.27a

1.30 ± 0.69a

0.52 ± 0.54b

3.25 ± 0.53a

2.65 ± 0.57b

2.03 ± 0.68b

1.20 ± 0.69c

GDR/FFM (mg/kgFFM/min)

12.77 ± 3.55a

8.69 ± 2.04b

4.64 ± 1.14c

6.97 ± 3.33b

GDR/FFM + 17.7

(mg/kgFFM + 17.7/min)

9.22 ± 2.59a

6.58 ± 1.56b

3.53 ± 0.86c

5.19 ± 2.30b

NOGM (mg/kgFFM/min)

8.26 ± 3.30a

5.19 ± 1.77b

1.93 ± 1.04c

5.37 ± 3.02b

NOGM (mg/kgFFM + 17.7/min)

5.97 ± 2.42a

3.93 ± 1.35b

1.46 ± 0.78c

3.99 ± 2.14b

  1. Absolute values are expressed as mean ± standard deviation. Statistical analyses included age, race, and adiposity as covariates. Means from groups with no shared connecting letters are significantly different from one another. PCOS: polycystic ovary syndrome, T2DM: type 2 diabetes mellitus, RQ: respiratory quotient, CHO Ox: carbohydrate oxidation, GDR: glucose disposal rate, FFM: fat-free mass, NOGM: non-oxidative glucose metabolism