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Table 4 The sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, positive predictive value, negative predictive value, and Youden index under different diagnostic threshold to diagnose NC/AGM, NC/IGR, IGR/DM, and NDM/DM

From: DS21, a new noninvasive technology, is effective and safe for screening for prediabetes and diabetes in Chinese population

Cut-off value

Sensitivity

Specificity

PLR

NLR

PPV

NPV

Youden index

NC/AGM

 77.1

0.695

0.737

2.645

0.414

0.796

0.565

0.432

 77.0

0.695

0.736

2.629

0.415

0.832

0.563

0.431

 76.1

0.724

0.706

2.460

0.391

0.839

0.544

0.430

 75.0

0.769

0.660

2.262

0.349

0.851

0.583

0.429

 75.8

0.740

0.688

2.375

0.377

0.843

0.537

0.429

NC/IGR

 77.1

0.718

0.695

2.352

0.406

0.702

0.708

0.413

 77.0

0.715

0.695

2.342

0.411

0.703

0.706

0.410

 77.1

0.718

0.692

2.328

0.408

0.702

0.708

0.410

 77.0

0.712

0.695

2.331

0.415

0.703

0.706

0.406

 77.2

0.718

0.688

2.303

0.410

0.700

0.707

0.406

NDM/DM

 68.4

0.726

0.555

1.632

0.493

0.510

0.760

0.281

 68.5

0.721

0.555

1.621

0.502

0.506

0.759

0.276

 68.3

0.726

0.549

1.609

0.499

0.507

0.758

0.275

 68.6

0.720

0.555

1.617

0.505

0.504

0.759

0.275

 71.5

0.654

0.621

1.724

0.558

0.479

0.770

0.274

IGR/DM

 51.0

0.307

0.824

1.743

0.841

0.641

0.253

0.131

 50.8

0.304

0.824

1.725

0.845

0.638

0.253

0.128

 51.1

0.307

0.821

1.712

0.844

0.632

0.250

0.128

 53.7

0.332

0.795

1.620

0.840

0.624

0.243

0.127

 58.1

0.382

0.744

1.492

0.831

0.602

0.223

0.126

  1. PLR positive likelihood ratio, NLR negative likelihood ratio, PPV positive predictive value, NPV negative predictive value, NC normal control, AGM abnormal glucose metabolism (including IGR+DM), IGR impaired glucose regulation, NDM non-diabetes (including NC+IGR), DM diabetes