Freychet P
Sem Hop. 1977 Jun 23;53(24):1421-4.
Insulin resistance may occur to a variable degree in various disease conditions. Obesity is frequently accompanied by insulin resistance. The anti-insulin antibodies in patients treated with insulin are a classical cause, but in fact rare. Insulin resistance of variable degree may accompany certain metabolic disorders, e.g. diabetic ketosis and acidosis, and endocrine disorders, e.g. Cushing's syndrome, acromegaly. The measurement of insulin receptors brings a new dimension to the investigation of insulin resistance. Insulin receptors are reduced in number during obesity. The abnormality, partly responsible for insulin resistance, is reducible by reduction in calory intake. Circulating insulin anti-receptor antibodies appear to be responsible for insulin resistance which is particularly marked although exeptional, in nonobese diabetics with acanthosis nigrans and auto-immune symptoms.
胰岛素抵抗可能在各种疾病状态下不同程度地出现。肥胖常常伴有胰岛素抵抗。接受胰岛素治疗的患者体内的抗胰岛素抗体是一个典型病因,但实际上很罕见。不同程度的胰岛素抵抗可能伴有某些代谢紊乱,如糖尿病酮症和酸中毒,以及内分泌紊乱,如库欣综合征、肢端肥大症。胰岛素受体的测定为胰岛素抵抗的研究带来了新的层面。肥胖期间胰岛素受体数量减少。这种异常在一定程度上导致了胰岛素抵抗,通过减少热量摄入可使其减轻。循环中的胰岛素抗受体抗体似乎是导致胰岛素抵抗的原因,这种抵抗在患有黑棘皮病和自身免疫症状的非肥胖糖尿病患者中尤为明显,尽管较为罕见。