Abstract

Type 1 diabetes mellitus (T1DM) is a chronic disease which represents a major issue for public health. Type 1 diabetes is occurred most frequently in childhood and adolescence, although in recent years due to the increase in the prevalence of obesity in this category of population has been registered a growing number of cases of type 2 diabetes among children and adolescents (1, 2).

Highlights

  • Type 1 diabetes mellitus (T1DM) is a chronic disease which represents a major issue for public health

  • The results of this study have shown that insulin resistance, quantified by eGDR, is more common in patients with diabetic retinopathy than in those without this complication

  • It showed that a low value of eGDR is independent associated with the presence of chronic complications of DM

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Summary

Introduction

Type 1 diabetes mellitus (T1DM) is a chronic disease which represents a major issue for public health. Insulin resistance has been linked to the pathophysiology of type 2 diabetes mellitus (T2DM) and it has been proved to have an important role in the increase of the risk of cardiovascular complications [6,7,8,9,10,11,12]. Subsequent studies [18,19,20,21] showed a significant decrease in glucose disposal mediated by insulin among patients with T1DM suggesting the presence of insulin resistance. After a decade this combination has aroused the interest of many research studies [22-30] to investigate the possible mechanisms of insulin resistance in T1DM

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