“…This can be due to several factors that include the time relative to last meal, and physiological state; these baseline indices were created to measure human insulin sensitivity and adapted for cattle (Holtenius and Holtenius, 2007;De Koster et al, 2017;González-Grajales et al, 2017). There is also the concern that insulin disappearance occurs through several insulin-independent pathways including renal filtration and fetal and mammary gland uptake depending on the physiological state of the animal (González-Grajales et al, 2018;Malacco et al, 2020). Although the gold standard of measuring insulin sensitivity in dairy cows has been the use of the insulin euglycemic clamp, several studies have evaluated insulin sensitivity using IVGTT and RQUICKI alone (Pires et al, 2007;Mann et al, 2016).…”