Muscle Ultrasound Echo Intensity Detects Insulin Resistance Before Changes in HbA<sub>1c</sub> or Fasting Glucose, Independent of BMI: A Novel Tool for Early Risk Stratification.

biomarker glycemic control insulin resistance obesity skeletal muscle echo intensity ultrasound National Institute of Diabetes and Digestive and Kidney Diseases 10.13039/100000062 DK133298 DK131724 Skeletal MEI There was a highly significant difference in mean deltoid MEI values between the obesity group (82.39 ± 28.32) and the healthy, lean group (33.41 ± 6.21) ( p < .001), with a mean difference of 48.98, representing a 146.6% increase relative to the lean group (Figure 2 ).

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