Cited by 263Pancreatic function and diabetesDiabetes Treatment and ManagementDiabetes and associated disorders

β-cell dysfunction: Its critical role in prevention and management of type 2 diabetes

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Saisho, Yoshifumi·2015·World Journal of Diabetes

Abstract

Type 2 diabetes (T2DM) is characterized by insulin resistance and β-cell dysfunction. Although, in contrast to type 1 diabetes, insulin resistance is assumed to be a major pathophysiological feature of T2DM, T2DM never develops unless β-cells fail to compensate insulin resistance. Recent studies have revealed that a deficit of β-cell functional mass is an essential component of the pathophysiology of T2DM, implying that β-cell deficit is a common feature of both type 1 and type 2 diabetes. β-cell dysfunction is present at the diagnosis of T2DM and progressively worsens with disease duration. β-cell dysfunction is associated with worsening of glycemic control and treatment failure; thus, it is important to preserve or recover β-cell functional mass in the management of T2DM. Since β-cell regenerative capacity appears somewhat limited in humans, reducing β-cell workload appears to be the most effective way to preserve β-cell functional mass to date, underpinning the importance of lifestyle modification and weight loss for the treatment and prevention of T2DM. This review summarizes the current knowledge on β-cell functional mass in T2DM and discusses the treatment strategy for T2DM.

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Crossref · 10.4239/wjd.v6.i1.109

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  • Both defective insulin secretion and impaired insulin action in peripheral tissues contribute to T2DM, but the principal defect lies in the pancreatic β-cell.

    “It is now clear that although both defective insulin secretion and impaired insulin action in peripheral tissues contribute to T2DM, the principal defect lies in the pancreatic β-cell (reviewed in (30, 580)).”

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Cited by

Sorted by citations

Authors
Saisho, Y.
Affiliations
Keio University (JP)
Corresponding author
Saisho, Yoshifumi
Venue
World Journal of Diabetes
Published
2015
Volume
6
Issue
1
Pages
109
ISSN
1948-9358 (ISSN-L)
OpenAlex
W2079771683
Cited by
263
References
36
Citations by year
2026: 32 · 2025: 30 · 2024: 34 · 2023: 30 · 2022: 29 · 2021: 24 · 2020: 23 · 2019: 14 · 2018: 11 · 2017: 16 · 2016: 9 · 2015: 10 · 2014: 1
FWCI
2.94
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • World Journal of Diabetes (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
Keywords
beta-cell dysfunction, type 2 diabetes, insulin resistance, glycemic control, disease duration, lifestyle modification, weight loss, diabetes prevention, diabetes treatment strategies

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