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Diabetes and its Silent Partner: A Critical Review of Hyperinsulinemia and its Complications. | LitMetric

Diabetes and its Silent Partner: A Critical Review of Hyperinsulinemia and its Complications.

Curr Diabetes Rev

Department of Health Promotion, Mother and Childcare, Internal Medicine and Medical Specialties, School of Medicine, University of Palermo, Palermo, Italy.

Published: August 2024

AI Article Synopsis

  • Hyperinsulinemia is a condition where there’s too much insulin in the body, and it's now seen as a key part of diabetes, not just a reaction to insulin problems.
  • It affects heart health and other complications, showing that it needs more attention in diabetes care.
  • The review suggests focusing on lifestyle changes and new treatments to help manage diabetes and highlights the importance of preventing and catching diabetes early to avoid serious health issues.

Article Abstract

In this complex realm of diabetes, hyperinsulinemia is no longer regarded as just a compensatory response to insulin resistance but rather has evolved into an integral feature. This comprehensive review provides a synthesis of the current literature, including various aspects associated with hyperinsulinemia in diabetic complications. Hyperinsulinemia has been shown to be more than just a compensatory mechanism, and the key findings demonstrate how hyperinsulinism affects the development of cardiovascular events as well as microvascular complications. Additionally, recognizing hyperinsulinemia as a modifiable factor, the diabetes management paradigm shifts towards cognitive ones that consider the use of lifestyle modifications in combination with newer pharmacotherapies and precision medicine approaches. These findings have crucial implications for the clinical work, requiring a careful appreciation of hyperinsulinemia's changing aspects as well as incorporation in personalized treatment protocol. In addition, the review focuses on bigger issues related to public health, showing that prevention and early diagnosis will help reduce the burden of complications. Research implications favor longitudinal studies, biomarker discovery, and the study of emerging treatment modalities; clinical practice should adopt global evaluations, patient education, and precision medicine adaptation. Finally, this critical review provides an overview of the underlying processes of hyperinsulinemia in diabetes and its overall health effects.

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Source
http://dx.doi.org/10.2174/0115733998311738240813110032DOI Listing

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