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Acute insulin resistance following injury.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Li, Li Messina, Joseph L.
Description	Country affiliation: United States Author Affiliation: Li L ( Department of Pathology, Division of Molecular and Cellular Pathology, The University of Alabama at Birmingham, Birmingham, AL 35294, USA.)
Abstract	Hyperglycemia and insulin resistance often occur following injury and/or critical illness. Whereas intensive insulin treatment reduces hyperglycemia, mortality and morbidity in certain patients, little is known regarding the pathophysiology of acute insulin resistance following injury and infection. Studies suggest that acute insulin resistance is complex and might differ in a tissue-specific manner, involving multiple causative factors and intracellular signaling pathways. Therefore, the advantages of intensive insulin therapy might not be uniform to all injuries or critical illnesses. Clearly, the increased incidence of hypoglycemic incidents following intensive insulin therapy indicates a need for understanding the underlying molecular mechanisms of the acute development of insulin resistance, which will allow a more targeted approach to treat altered glucose metabolism of critically ill patients.
File Format	HTM / HTML
ISSN	10432760
e-ISSN	18793061
DOI	10.1016/j.tem.2009.06.004
Journal	Trends in Endocrinology & Metabolism
Issue Number	9
Volume Number	20
Language	English
Publisher	Elsevier
Publisher Date	2009-11-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Metabolism Discipline Endocrinology Hyperglycemia Pathology Insulin Resistance Physiology Wounds And Injuries Physiopathology Animals Burns Critical Illness Hemorrhage Drug Therapy Etiology Infection Insulin Therapeutic Use Sepsis Research Support, N.i.h., Extramural Research Support, U.s. Gov't, Non-p.h.s.
Content Type	Text
Resource Type	Article
Subject	Endocrinology, Diabetes and Metabolism Endocrinology

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