Abstract:
:NIDDM in Pima Indians is characterized by obesity, abnormal insulin secretion, insulin resistance, and excess hepatic glucose output. Cross-sectional studies, and, as yet incomplete longitudinal studies of nondiabetic and diabetic Pima Indians suggest that the natural history of the disease begins with insulin resistance and, subsequently, when insulin secretion fails, increasing hepatic glucose output occurs, resulting in increasing fasting hyperglycemia. The insulin resistance that precedes the development of fasting hyperglycemia is not due solely to obesity. Insulin resistance aggregates in families and the trimodel frequency distribution of insulin action in vivo suggests it may have genetic determinants.
journal_name
Diabetes Carejournal_title
Diabetes careauthors
Bogardus Cdoi
10.2337/diacare.16.1.228subject
Has Abstractpub_date
1993-01-01 00:00:00pages
228-31issue
1eissn
0149-5992issn
1935-5548journal_volume
16pub_type
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