Insulin characterized by abnormally high blood glucose concentrations, and generalized body wasting. In type 2 diabetes mellitus the destruction of beta cells is less pronounced than in type 1 diabetes, and is not due to an autoimmune process. Instead there is an accumulation of amyloid in the pancreatic islets, which likely disrupts their anatomy and physiology. The pathogenesis of type 2 diabetes is not well understood but patients exhibit a reduced population of islet beta-cells, reduced secretory function of islet beta-cells that survive, and peripheral tissue insulin resistance. Type 2 diabetes is characterized by high rates of glucagon secretion into the
Insulin resistance the likelihood of Type 2 diabetes mellitus. Also, insulin resistance often is associated with a hypercoagulable state (impaired fibrinolysis) and increased inflammatory cytokine levels. Another factor that may promote insulin resistance is Leptin, a hormone produced from the ob gene and adipocytes. Its physiological role is to regulate hunger by alerting the body when it is full. From an adaptation perspective, it is possible that leptin resistance was favorable for survival during periods when food was scarce. Today however studies show that lack of leptin causes severe obesity and is strongly linked with insulin resistance. Leptin replacement in mice with