[Insulin resistance treatments in the future]
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Updated: Jul 10, 2026

Study of In Vivo Glucose Metabolism in High-fat Diet-fed Mice Using Oral Glucose Tolerance Test (OGTT) and Insulin Tolerance Test (ITT)
Published on: January 7, 2018
Jacques Philippe1, François Jornayvaz
1Service d'Endocrinologie, Diabétologie et Nutrition, Hôpitaux Universitaires de Genève, 1211 Genève 14, Suisse. jacques.philippe@hcuge.ch
Abstract:
Present treatment strategies of type 2 diabetes are unsatisfactory. At diagnosis, most oral antidiabetic agents are effective on blood glucose control, but with time metabolic control deteriorates whatever therapeutic modality is used. The reasons for treatment failure are the natural history of the disease and the necessary implication of the patient in the management of blood glucose control on a constant basis. News treatments thus have to be developed acting on either insulin resistance or insulin secretion or both. We discuss here present and future developments which aim to decrease insulin resistance. In the last 10 years, multiple therapeutic targets have been identified in appetite control, such as the endocannabinoid system and glucagon-like-peptide 1, in insulin signalling and in the control of cellular energy balance such as AMP kinase. These developments should allow a better management of type 2 diabetes and its complications.
Insights
Current type 2 diabetes treatments often fail due to disease progression and patient adherence challenges. New therapies targeting insulin resistance and secretion are crucial for better blood glucose control and managing complications.
Area of Science:
- Endocrinology and Metabolism
- Pharmacology
- Cellular Biology
Background:
- Current type 2 diabetes (T2D) treatments show limitations in long-term metabolic control.
- Disease progression and patient self-management challenges contribute to treatment failure.
- Novel therapeutic strategies are needed to address underlying T2D pathophysiology.
Purpose of the Study:
- To review current and future developments in T2D treatment.
- To focus on therapeutic targets aimed at decreasing insulin resistance.
- To explore new targets in appetite control, insulin signaling, and cellular energy balance.
Main Methods:
- Review of recent scientific literature on T2D therapeutic targets.
- Discussion of identified targets including the endocannabinoid system, glucagon-like-peptide 1 (GLP-1), and AMP kinase.
- Analysis of the role of these targets in insulin resistance and secretion.
Main Results:
- Multiple novel therapeutic targets have been identified in the last decade.
- Targets include appetite regulators (endocannabinoid system, GLP-1) and insulin signaling pathways.
- Cellular energy balance regulators like AMP kinase are also key targets.
Conclusions:
- Emerging treatments focusing on insulin resistance offer promise for T2D management.
- Targeting appetite control and cellular energy metabolism could improve glycemic control.
- These advancements are expected to lead to better management of T2D and its associated complications.
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