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Related Concept Videos

Insulin: Dosing Regimen and Adverse Effects01:16

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Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
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Insulin action is mediated through a receptor tyrosine kinase, akin to the IGF-1 receptor. The number of receptors per cell varies significantly, from 40 on erythrocytes to 300,000 on adipocytes and hepatocytes. The insulin receptor consists of linked α/β subunit dimers, forming a heterotetramer glycoprotein with two extracellular α subunits and two β subunits spanning the membrane. The α subunits inhibit the inherent tyrosine kinase activity of the β subunits, but...
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Insulin preparations are categorized by their duration of action into short-acting and long-acting types. Two strategies are used to modify insulin's absorption and pharmacokinetic profile: slowing the absorption post-subcutaneous injection, or altering human insulin's amino acid sequence or protein structure. These changes retain the insulin's ability to bind to the insulin receptor, but alter its behavior in solution or after injection.
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Related Experiment Video

Updated: Nov 7, 2025

Study of In Vivo Glucose Metabolism in High-fat Diet-fed Mice Using Oral Glucose Tolerance Test OGTT and Insulin Tolerance Test ITT
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Measuring Insulin Resistance in Humans.

Vandhna R Sharma1, Samantha T Matta1, Morey W Haymond2

  • 1National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland, USA.

Hormone Research in Paediatrics
|May 2, 2021
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Summary

Understanding insulin resistance, a key factor in diabetes and heart disease, has evolved significantly. Accurate measurements are crucial for diagnosis and treatment, requiring careful method selection and interpretation.

Keywords:
HistoryInsulin actionInsulin assayInsulin resistanceInsulin sensitivity

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Area of Science:

  • Metabolic Physiology
  • Endocrinology
  • Pathophysiology

Background:

  • Insulin resistance is a central condition in diabetes and cardiometabolic diseases, marked by reduced tissue sensitivity to insulin.
  • Historical understanding is built upon the discovery and therapeutic challenges of insulin.

Observation:

  • The term "insulin resistance" has evolved through historical scientific inquiry.
  • Advances in insulin and glucose analytics have been vital for recognizing and validating this metabolic state.

Findings:

  • Key discoveries have expanded knowledge of insulin resistance.
  • Challenges in measurement and interpretation persist, alongside contemporary techniques and future research directions.

Implications:

  • Accurate insulin resistance measurements are essential for defining and treating cardiometabolic diseases.
  • Methodological considerations and clinical context are critical for interpreting results.