Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Obesity, insulin resistance, and type 1 diabetes mellitus

Polsky, Sarita; Ellis, Samuel L.b

Current Opinion in Endocrinology, Diabetes and Obesity: August 2015 - Volume 22 - Issue 4 - p 277–282
doi: 10.1097/MED.0000000000000170
DIABETES AND THE ENDOCRINE PANCREAS II: Edited by Peter A. Gottlieb
Buy

Purpose of review To summarize recent studies about obesity, insulin resistance, and type 1 diabetes mellitus (T1DM).

Recent findings Overweight and obesity continue to be prevalent among individuals with T1DM. Obesity rates appear to have reached a plateau among children with T1DM in some parts of the world. The risk for development of T1DM is increased by obesity and may occur at an earlier age among obese individuals with a predisposition. Obesity increases the risk for comorbidities among individuals with T1DM, especially metabolic syndrome, and microvascular and macrovascular diseases. Metformin, glucagon-like peptide-1 agonist therapy, sodium glucose cotransporter-2 inhibitor therapy, and bariatric surgery may be beneficial therapies for glucose control, comorbidity management, and obesity among adults with T1DM. Insulin resistance may be improved among obese individuals with T1DM by biguanides (metformin) and glucagon-like peptide-1 agonists (exenatide).

Summary We review the last 18 months of literature on obesity, insulin resistance, and T1DM to highlight new epidemiologic results and treatments.

aBarbara Davis Center for Diabetes, Division of Endocrinology, Metabolism and Diabetes

bDepartment of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA

Correspondence to Sarit Polsky, MD, MPH, Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, 1775 Aurora Court, Mail Stop A140, Aurora, CO 80045, USA. Tel: +1 303 724 8575; fax: +1 303 724 6784; e-mail: Sarit.Polsky@ucdenver.edu

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.