Insulin resistance and compensatory hyperinsulinemia

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Insulin Resistance and Hyperinsulinemia

OBJECTIVE Recently, it has been suggested that insulin resistance and hyperinsulinemia can exist in isolation and have differential impacts on cardiovascular disease (CVD). To evaluate this suggestion, we assessed the degree of discordance between insulin sensitivity and insulin response in a healthy, nondiabetic population. RESEARCH DESIGN AND METHODS Insulin sensitivity was quantified by de...

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Insulin Resistance and Compensatory Hyperinsulinemia: the Linchpin between Obesity and Cardiovascular Disease

Introduction It has been estimated [1] that more than 50% of the U.S. population is overweight (body mass index (BMI)>25.0 kg/m), with ~20% designated as being obese (BMI>30 kg/m). Given the importance [2] of excess adiposity in increasing risk of cardiovascular disease (CVD) and the increase in the prevalence of overweight/obesity, it is essential that considerable thought be given as to how t...

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Insulin resistance and compensatory hyperinsulinemia: the key player between cigarette smoking and cardiovascular disease?

Hyperinsulinemia, dyslipidemia, and endothelial dysfunction are characteristic findings in insulin-resistant individuals, and all of these abnormalities have been identified as increasing cardiovascular disease (CVD) risk. Smokers tend to be relatively insulin resistant, hyperinsulinemic, and dyslipidemic, with evidence of endothelial dysfunction, as compared with nonsmokers, and recent epidemi...

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Macroand microvascular complications are both main causes of morbidity and mortality in type 1 and type 2 diabetes, but macrovascular complications have an increased incidence even before the onset of type 2 diabetes. While high blood glucose and glucose-induced protein and lipid modifications—the advanced glycation endproducts—can be triggers of both macroand microvascular disease once diabete...

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Recent work to elucidate the cause of obesity-associated hypertension has focused on insulin resistance and hyperinsulinemia. A significant amount of epidemiologic and correlational evidence suggests a link between these factors and obesity-associated hypertension, and acute insulin infusion studies have revealed renal, neural, and cardiovascular effects of this hormone that, if maintained chro...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2003

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(02)02982-0