Pathogenesis of type 2 diabetes. Insulin resistance.

Abstract:

:This article addresses the role of insulin resistance in the pathogenesis of type 2 diabetes. The major causes of acquired insulin resistance including aging, pregnancy, lack of physical activity, and obesity are discussed briefly. The role of free fatty acids (FFAs) as a link between obesity and insulin resistance/type 2 diabetes is discussed in detail. Evidence is provided showing that increased plasma FFA levels produce insulin resistance dosage dependently, acutely, and chronically. Mechanisms by which FFA can cause insulin resistance are outlined. Lastly, normalizing plasma FFA levels is proposed as a new approach to reducing insulin resistance and the risk for type 2 diabetes mellitus, and atherosclerotic vascular disease.

authors

Boden G

doi

10.1016/s0889-8529(05)70216-4

subject

Has Abstract

pub_date

2001-12-01 00:00:00

pages

801-15, v

issue

4

eissn

0889-8529

issn

1558-4410

pii

S0889-8529(05)70216-4

journal_volume

30

pub_type

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