SUN-092 C-PEPTIDE VS INSULIN BASED INSULIN RESITANCE MEASUREMENT IN CHRONIC KIDNEY DISEASE

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Measurement of insulin resistance in chronic kidney disease.

PURPOSE OF REVIEW Insulin resistance is a known complication of end-stage renal disease that also appears to be present in earlier stages of chronic kidney disease (CKD). It is a risk factor for cardiovascular disease and an important potential therapeutic target in this population. Measurement of insulin resistance is reviewed in the context of known pathophysiologic abnormalities in CKD. RE...

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Molecular Mechanisms of Insulin Resistance in Chronic Kidney Disease

Insulin resistance refers to reduced sensitivity of organs to insulin-initiated biologic processes that result in metabolic defects. Insulin resistance is common in patients with end-stage renal disease but also occurs in patients with chronic kidney disease (CKD), even when the serum creatinine is minimally increased. Following insulin binding to its receptor, auto-phosphorylation of the insul...

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Insulin Resistance and Muscle Metabolism in Chronic Kidney Disease

Insulin resistance is a common finding in chronic kidney disease (CKD) and is manifested by mild fasting hyperglycemia and abnormal glucose tolerance testing. Circulating levels of glucocorticoids are high. In muscle, changes in the insulin signaling pathway occur. An increase in the regulatory p85 subunit of Class I phosphatidylinositol 3-Kinase enzyme leads to decreased activation of the down...

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Insulin Resistance in Patients with Chronic Kidney Disease

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Effect of Insulin Resistance in Chronic Kidney Disease

Insulin resistance accompanies many well-established cardiovascular risk factors, such as obesity, hypertension, dyslipidaemia and type 2 diabetes. Since cardiovascular disease (CVD) is the leading cause of death in patients with end stage renal disease (ESRD), insulin resistance is thought to play a role in the morbidity and mortality associated with ESRD. This paper reviews the available info...

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ژورنال

عنوان ژورنال: Kidney International Reports

سال: 2020

ISSN: 2468-0249

DOI: 10.1016/j.ekir.2020.02.618