Inherited states of target cell resistance |
Leprechaunism (insulin-receptor mutations) |
Rabson-Mendenhall syndrome (insulin-receptor mutations) |
Type A syndrome of insulin resistance (insulin-receptor mutations in some, unknown signaling defect in most) |
Some lipodystrophies |
Secondary insulin resistance |
Obesity (free fatty acids and adipocytokines may contribute) |
Stress, infection due to excess counterregulatory hormones (cortisol, catecholamines, growth hormone, glucagon) |
Medications (eg, glucocorticoids, HIV antiretrovirals, oral contraceptives) |
Inactivity |
Pregnancy (placental lactogen) |
Immune mediated (anti-insulin antibodies, anti-insulin receptor antibodies in type B syndrome) |
Miscellaneous (starvation, uremia, cirrhosis, ketoacidosis) |
Consequences of insulin resistance |
Most cases of type 2 diabetes mellitus |
Cardiovascular disease, hypertension |
Polycystic ovary syndrome |
Metabolic syndrome |
Obesity-related cancers |
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