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#209 - What is insulin resistance and why does it matter? | Dr. Rob Lustig & Dr. Dominic D’Agostino

LEVELS – A Whole New Level

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Type 2 Diabetes Without Insulin Resistance

A question that I got the other day actually was, can you have type 2 diabetes without insulin resistance? And I could not answer this unambiguously with a particular reference. So how do you define type 2 diabetes? Well anything that's not type 1 diabetes. There are 14 different genetic defects that will ultimately lead to beta cell dysfunction and lead to hyperglycemia. Those patients with MODY account for about 5% of the type 2s. But if you have true type 2 diabetes, you have insulin resistance.

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