Treatment of insulin resistance in diabetes mellitus.

Abstract:

:Insulin resistance is a condition in which the glycemic response to insulin is less than normal. The change in insulin sensitivity leads to several sets of responses. One set effects the beta cell and leads to its accelerated destruction and the development of diabetes mellitus. The other set generates a series of nontraditional cardiovascular risk factors that result in accelerated atherosclerosis. Both of these sets of responses may have impacts on other tissues such as the nervous system. Insulin resistance is probably the result of increased visceral adiposity with increased release of free fatty acids and cytokines and a decreased release of adiponectin. Treatment of insulin resistance and its associated abnormalities can be achieved by lifestyle modification which results in weight loss, by drugs that reverse the abnormal adipocyte effects, by drugs that improve insulin sensitivity at the level of the liver and by anti-inflammatory agents that block activation of the nuclear factor kappa B cascade.

journal_name

Eur J Pharmacol

authors

Lebovitz HE,Banerji MA

doi

10.1016/j.ejphar.2004.02.051

keywords:

subject

Has Abstract

pub_date

2004-04-19 00:00:00

pages

135-46

issue

1-3

eissn

0014-2999

issn

1879-0712

pii

S0014299904002080

journal_volume

490

pub_type

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