What if Minkowski Had Been Ageusic? An Alternative Angle on Diabetes
Abstract
Despite decades of intensive investigation, the basic pathophysiological mechanisms responsible for the metabolic derangements associated with diabetes mellitus have remained elusive. Explored here is the possibility that traditional concepts in this area might have carried the wrong emphasis. It is suggested that the phenomena of insulin resistance and hyperglycemia might be more readily understood if viewed in the context of underlying abnormalities of lipid metabolism.
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Insulin resistance plays a major role in the pathogenesis of type 2 diabetes mellitus.
“Although it is clear that insulin resistance plays a major role in the pathogenesis of T2DM”
From Increased prevalence of insulin resistance and nonalcoholic fatty liver disease in Asian-Indian men (2006) · cites this paper as [12]
Insulin resistance is strongly associated with increases in hepatic and/or intramyocellular lipid content.
“and that insulin resistance is strongly associated with increases in hepatic (HTG) and ∕ or intramyocellular lipid content”
From Increased prevalence of insulin resistance and nonalcoholic fatty liver disease in Asian-Indian men (2006) · cites this paper as [12]
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- Authors
- McGarry, J. D.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- Corresponding author
- McGarry, J. Denis
- ORCID
- McGarry, J. Denis
- Venue
- Science
- Published
- 1992-10-30
- Volume
- 258
- Issue
- 5083
- Pages
- 766-770
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- OpenAlex
- W2036344921
- Cited by
- 657
- References
- 24
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 8 · 2023: 9 · 2022: 10 · 2021: 10 · 2020: 16 · 2019: 10 · 2018: 12 · 2017: 18 · 2016: 16 · 2015: 20 · 2014: 16 · 2013: 21 · 2012: 25
- FWCI
- 6.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01dk011313-25)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 18573, DK11313)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes mellitus, insulin resistance, hyperglycemia, lipid metabolism, metabolic disorders, diabetes pathophysiology
- MeSH terms
- Acetoacetates, Adipose Tissue, Blood Glucose, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Fatty Acids, Nonesterified, Glucose Tolerance Test, Humans, Hydroxybutyrates, Insulin, Insulin Resistance, Islets of Langerhans, Ketone Bodies, Lipoproteins, VLDL, Liver, Triglycerides, 3-Hydroxybutyric Acid, Lipid Metabolism
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