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Cited by 420

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

The Genetic Basis of Type 2 Diabetes Mellitus: Impaired Insulin Secretion versus Impaired Insulin Sensitivity

Gerich, John E.·1998·Endocrine Reviews

Abstract

Despite the fact that it is the prevalent view that insulin resistance is the main genetic factor predisposing to development of type 2 diabetes, review of several lines of evidence in the literature indicates a lack of overwhelming support for this concept. In fact, the literature better supports the case of impaired insulin secretion being the initial and main genetic factor predisposing to type 2 diabetes, especially 1) the studies in people at high risk to subsequently develop type 2 diabetes (discordant monozygotic twins and women with previous gestational diabetes), 2) the studies demonstrating compete alleviation of insulin resistance with weight loss, and 3) the studies finding that people with type 2 diabetes or IGT can have impaired insulin secretion and no insulin resistance compared with well matched NGT subjects. The fact that insulin resistance may be largely an acquired problem in no way lessens its importance in the pathogenesis of type 2 diabetes. Life style changes (exercise, weight reduction) and pharmacological agents (e.g., biguanides and thiazolidendiones) that reduce insulin resistance or increase insulin sensitivity clearly have major beneficial effects (122, 144-146, 153-155).

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Metadata

Authors
Gerich, J. E.
Venue
Endocrine Reviews
Published
1998-08-01
Volume
19
Issue
4
Pages
491-503
ISSN
  • 0163-769X (ISSN-L)
  • 1945-7189
OpenAlex
W2076122324
Cited by
420
References
24
FWCI
18.13
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The Genetic Basis of Type 2 Diabetes Mellitus: Impaired Insulin Secretion versus Impaired Insulin Sensitivity. https://app.cochat.ai/papers/10.1210/edrv.19.4.0338
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Gerich, J. E. (1998). The Genetic Basis of Type 2 Diabetes Mellitus: Impaired Insulin Secretion versus Impaired Insulin Sensitivity. Endocrine Reviews. https://doi.org/10.1210/edrv.19.4.0338

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