Pathogenesis of Insulin Resistance

Insulin resistance is interpreted as being a normal or raised insulin level giving rise to a biological reaction which is attenuated in effect; classically this cites to the weakened sensitivity to the disposal of insulin arbitrate glucose. Compensatory hyperinsulinemia eventuates when the secretion...

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Main Author: Zaman, Gaffar S. (Author)
Format: Ebooks
Published: IntechOpen, 2020-06-17.
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Summary:Insulin resistance is interpreted as being a normal or raised insulin level giving rise to a biological reaction which is attenuated in effect; classically this cites to the weakened sensitivity to the disposal of insulin arbitrate glucose. Compensatory hyperinsulinemia eventuates when the secretion of the β cells of pancreas gets elevated to sustain the level of blood glucose in normal levels. The term insulin resistance syndrome is used to refer to a group of abnormalities and interconnected physical consequences that eventuate in long-standing insulin-resistant persons. Under standard situations of insulin reactivity, the response of insulin triggers the intake of glucose into the body cells, for utilization as energy, and impedes the utilization of fat for energy, as a result of which, the concentration of glucose circulating in the blood decreases. There are a number of risk factors for insulin resistance. Four major metabolic abnormalities characterize type 2 diabetes mellitus (T2DM): impaired insulin action, obesity, increased endogenous glucose output, and insulin secretory dysfunction. The evolution (and subsequent progression) of type 2 diabetes mellitus is delineated by a gradual deterioration of glucose tolerance over several years. Glucose tolerance testing, hyperinsulinemic euglycemic clamp, modified insulin suppression test, homeostatic model assessment (HOMA), and quantitative insulin sensitivity check index (QUICKI) method for insulin assessment are some of the methods by which insulin resistance can be measured. Moreover, longer-term effective researches as well are essential to preferably ascertain the significance of the glycemic index in the blood glucose regulation and to prevent the complications of diabetes, particularly in relations to insulin resistance risk factors. The possible role of insulin resistance in the glycemic index in depleting oxidative stress postprandially and related pro-inflammatory situations also merits further appraisal.
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