The quantitative measure of how effectively peripheral tissues, primarily skeletal muscle, uptake and store circulating glucose following a carbohydrate load. High efficiency indicates robust insulin sensitivity across key metabolic tissues. Low efficiency signals impaired glucose tolerance or insulin resistance. This is a critical marker of metabolic health.
Origin
This term is central to metabolic science, tracing its roots to studies defining insulin action and whole-body glucose homeostasis. It quantifies the effectiveness of insulin signaling in peripheral compartments. The concept evolved from early clamp studies measuring glucose uptake rates.
Mechanism
Efficiency is primarily dictated by insulin receptor sensitivity and the subsequent translocation of GLUT4 transporters to the cell membrane, allowing muscle tissue to rapidly clear plasma glucose into glycogen stores. Adequate insulin receptor phosphorylation cascades are necessary to initiate this translocation event. Myokine signaling can also modulate this process.
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