Cited by 328Pancreatic function and diabetesDiabetes Treatment and ManagementDiabetes, Cardiovascular Risks, and Lipoproteins

β Cell Dysfunction Versus Insulin Resistance in the Pathogenesis of Type 2 Diabetes in East Asians

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Yabe, Daisuke, Seino, Yutaka, Fukushima, Mitsuo, Seino, Susumu·2015·Current Diabetes Reports

Abstract

Type 2 diabetes (T2DM) is one of the most serious global health problems and is mainly a result of the drastic increase in East Asia, which includes over a fourth of the global diabetes population. Lifestyle factors and ethnicity are two determinants in the etiology of T2DM, and lifestyle changes such as higher fat intake and less physical activity link readily to T2DM in East Asians. It is widely recognized that T2DM in East Asians is characterized primarily by β cell dysfunction, which is evident immediately after ingestion of glucose or meal, and less adiposity compared to the disease in Caucasians. These pathophysiological differences have an important impact on therapeutic approaches. Here, we revisit the pathogenesis of T2DM in light of β cell dysfunction versus insulin resistance in East Asians and discuss ethnic differences in the contributions of insulin secretion and insulin resistance, together with incretin secretin and action, to glucose intolerance.

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Cited by

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Authors
Yabe, D., Seino, Y., Fukushima, M., & Seino, S.
Affiliations
  • Kansai Electric Power (Japan) (JP)
  • Okayama Prefectural University (JP)
  • Kobe University (JP)
Corresponding author
Yabe, Daisuke
Venue
Current Diabetes Reports
Published
2015-05-06
Volume
15
Issue
6
Pages
602-602
ISSN
  • 1534-4827 (ISSN-L)
  • 1539-0829
OpenAlex
W1944521216
Cited by
328
References
8
Citations by year
2026: 26 · 2025: 39 · 2024: 31 · 2023: 20 · 2022: 45 · 2021: 32 · 2020: 29 · 2019: 18 · 2018: 33 · 2017: 25 · 2016: 19 · 2015: 11
FWCI
29.57
Type
journal article
Language
en
Open access
Locations
  • Current Diabetes Reports (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
Japan Society for the Promotion of Science (24229007, 25860748)
Topics
  • Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
type 2 diabetes, beta-cell dysfunction, insulin resistance, East Asians, ethnic differences, insulin secretion, incretins, impaired glucose tolerance, pathogenesis, lifestyle factors, adiposity
MeSH terms
Insulin Secretion, Diabetes Mellitus, Type 2, Humans, Insulin, Insulin Resistance, Asian People, Insulin-Secreting Cells, Incretins

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