Автор |
Reaven, Gerald M. |
Дата выпуска |
1993 |
dc.description |
Resistance to insulin-mediated glucose uptake is characteristic of individuals with impaired glucose intolerance or non-insulin-dependent diabetes, and it also occurs commonliyn patients with high blood pressure. The physiological response to a decrease in insulin-mediated glucose uptake is an increase in insulin secretion, and as long as a state of compensatory hyperinsulinemia can be maintained, frank decompensation of glucose tolerance can be prevented. However, it is likely that the defect in insulin action and/or the associated hyperinsulinemia will lead to an increase in plasma triglyceride and a decrease in high density lipoprotein-cholesterol concentration, and high blood pressure. It seems likely that the cluster of changes associated with resistance to insulin-mediated glucose uptake comprise a syndrome, which plays an important role in the etiology and clinical course of patients with non-insulin-dependent diabetes, high blood pressure, and coronary heart disease. |
Формат |
application.pdf |
Издатель |
Annual Reviews |
Копирайт |
Annual Reviews |
Название |
Role of Insulin Resistance in Human Disease (Syndrome X): An Expanded Definition |
DOI |
10.1146/annurev.me.44.020193.001005 |
Print ISSN |
0066-4219 |
Журнал |
Annual Review of Medicine |
Том |
44 |
Первая страница |
121 |
Последняя страница |
131 |
Аффилиация |
Reaven, Gerald M.; Department of Medicine, Stanford University School of Medicine, Stanford, California 94305; and Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, Palo Alto, California 94304 |