Diabetes was the eighth leading cause of
death in the United States in 2021 based on the 103,294 death certificates in
which diabetes was listed as the underlying cause of death. The prevalence of
Type 2 diabetes mellitus (T2DM) has increased from 2.5% of the US population in
1990 and rose to 11.6% of the total US population, or 38.4 million people, in
2021. This chapter has three purposes such as exploring insulin resistance
pathophysiology, addressing the role of the insulin receptor (InsR) in the
regulation of glucose homeostasis; and reviewing literature for clinical
outcomes and molecular mechanisms that support the use of Physiologic Insulin
Resensitization (PIR) as an effective treatment to address IR, of which
diabetes and its complications are the most common diagnoses. Insulin
resistance is the primary cause of type 2 diabetes. Insulin resistance leads to
increasing insulin secretion, leading to beta-cell exhaustion or burnout. This
triggers a cascade leading to islet cell destruction and the long-term
complications of type 2 diabetes. Concurrent with insulin resistance, the regular
bursts of insulin from the pancreas become irregular. This has been treated by
the precise administration of insulin more physiologically. There is consistent
evidence that this treatment modality can reverse the diabetes-associated
complications of neuropathy, diabetic ulcers, nephropathy, and retinopathy and
that it lowers HbA1c. Using physiologic insulin resensitization is a logical
clinical solution to restore physiologic insulin function. The study also
suggests that the complications, hospitalizations, medication costs, and
emergency room visits may be reduced using physiologic insulin resensitization.
Author(s)
Details:-
Frank
Greenway
Clinical Trials Unit, Pennington Biomedical Research Center,
Baton Rouge, Louisiana, USA.
Brian
Loveridge
Wellcell Global, Houston Texas, USA.
Richard
Marchase
Wellcell Global, Houston Texas, USA.
Zach
Villaverde
Wellcell Global, Houston Texas, USA.
Carol
Wilson
Wellcell Global, Houston Texas, USA.
Michael
Alexander
Department of Surgery, University of California Irvine,
Irvine, California, USA.
Scott A.
Hepford
Wellcell Global, Houston Texas, USA.
Jonathan R.
T. Lakey
Department of Surgery, University of California Irvine,
Irvine, California, USA and Department of Biomedical Engineering, University of
California Irvine, Irvine, California, USA.
Please see the link here: https://doi.org/10.9734/bpi/rudhr/v6/3199G
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