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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">diaendo</journal-id><journal-title-group><journal-title xml:lang="ru">Сахарный диабет</journal-title><trans-title-group xml:lang="en"><trans-title>Diabetes mellitus</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-0351</issn><issn pub-type="epub">2072-0378</issn><publisher><publisher-name>Endocrinology research centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/2072-0351-6105</article-id><article-id custom-type="elpub" pub-id-type="custom">diaendo-6105</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Инсулинорезистентность в патогенезе сахарного диабета 2 типа</article-title><trans-title-group xml:lang="en"><trans-title>Insulinorezistentnost' v patogeneze sakharnogo diabeta 2 tipa</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Балаболкин</surname><given-names>Михаил Иванович</given-names></name><name name-style="western" xml:lang="en"><surname>Balabolkin</surname><given-names>Mikhail Ivanovich</given-names></name></name-alternatives><email xlink:type="simple">-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Клебанова</surname><given-names>Елена Михайловна</given-names></name><name name-style="western" xml:lang="en"><surname>Klebanova</surname><given-names>Elena Michailovna</given-names></name></name-alternatives><email xlink:type="simple">-</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Эндокринологический научный центр РАМН, Москва</institution></aff><aff xml:lang="en"><institution>Endocrinology Research Centre, Moscow</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2001</year></pub-date><pub-date pub-type="epub"><day>15</day><month>03</month><year>2001</year></pub-date><volume>4</volume><issue>1</issue><issue-title>№1 (2001)</issue-title><fpage>28</fpage><lpage>36</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Балаболкин М.И., Клебанова Е.М., 2001</copyright-statement><copyright-year>2001</copyright-year><copyright-holder xml:lang="ru">Балаболкин М.И., Клебанова Е.М.</copyright-holder><copyright-holder xml:lang="en">Balabolkin M.I., Klebanova E.M.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.dia-endojournals.ru/jour/article/view/6105">https://www.dia-endojournals.ru/jour/article/view/6105</self-uri><abstract><p>Инсулинорезистентность - снижение биологического ответа к одному или нескольким эффектам действия инсулина. Чаще инсулинорезистентность определяют как состояние, которое сопровождается сниженным поглощением глюкозы тканями организма под влиянием инсулина, т.е. резистентностью клеток различных органов и тканей к сахароснижающему действию инсулина. Инсулинорезистентность ответственна как за манифестацию СД 2 типа, так и за поддержание хронической гипергликемии, которая является пусковым механизмом патогенеза поздних сосудистых осложнений диабета, способствуя их быстрому прогрессированию и приводя к инвалидизации и высокой летальности. В настоящем обзоре подробно рассматриваются молекулярные механизмы формирования феномена инсулинорезистентности и возможные подходы (в том числе, медикаментозные) к ее устранению.</p></abstract><kwd-group xml:lang="ru"><kwd>инсулинорезистентность</kwd><kwd>сахарный диабет</kwd><kwd>патогенез</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Banerji М A, Chaiken R L, Gordon D et al., Does intra-abdominal adipose tissue in black men determine whether NIDDM is insulin-resistant or insulin-sensitive, Diabetes, 1995, 44, 141-146</mixed-citation><mixed-citation xml:lang="en">Banerji М A, Chaiken R L, Gordon D et al., Does intra-abdominal adipose tissue in black men determine whether NIDDM is insulin-resistant or insulin-sensitive, Diabetes, 1995, 44, 141-146</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Boden G, Chen X, Iqbal N., Acute lowering of plasma fatty acids lower insulin secretion in diabetic and non-diabetic subjects, Diabetes, 1998, 47,1609-1612</mixed-citation><mixed-citation xml:lang="en">Boden G, Chen X, Iqbal N., Acute lowering of plasma fatty acids lower insulin secretion in diabetic and non-diabetic subjects, Diabetes, 1998, 47,1609-1612</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Boden G, Chen X, Rosner J, Barton M, Effects of a 48-h fat infusion on insulin secretion and glucose utilisation, Diabetes, 1995, 44, 1239-1242</mixed-citation><mixed-citation xml:lang="en">Boden G, Chen X, Rosner J, Barton M, Effects of a 48-h fat infusion on insulin secretion and glucose utilisation, Diabetes, 1995, 44, 1239-1242</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Brockley М., and Schneider R.L. 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