Research

Hormonal

Insulin resistance and impaired insulin secretion are the primary physiological precursors to the development of non-insulin-dependent diabetes mellitus (NIDDM), with insulin resistance preceding hyperinsulinemia and hyperglycemia.

Diabetes risk is driven by how your body handles insulin, not just blood sugar levels. If you have a family history or risk factors, prioritize improving insulin sensitivity through regular physical activity and maintaining a healthy weight, as these factors precede the onset of high blood sugar.

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We conclude that insulin resistance and hyperinsulinemia precede the development of NIDDM and that the subsequent development of hyperglycemia is associated with a failure of insulin secretion.
Stephen Lillioja et al. · New England Journal of Medicine · 1993

Why this rating

Prospective longitudinal study in a well-defined population (Pima Indians) with rigorous metabolic testing.

Source

Insulin Resistance and Insulin Secretory Dysfunction as Precursors of Non-Insulin-Dependent Diabetes Mellitus: Prospective Studies of Pima Indians

Stephen Lillioja et al. · New England Journal of Medicine · 1993

DOI 10.1056/nejm199312303292703

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DOI resolved against Crossref · corpus check 2026-06-10

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