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Starvation diet and very-low-calorie diets may induce insulin resistance and overt diabetes mellitus.
Koffler, M; Kisch, E S.
Afiliación
  • Koffler M; Diabetes Unit, Tel-Aviv University Medical Center, Ichilov Hospital, Israel.
J Diabetes Complications ; 10(2): 109-12, 1996.
Article en En | MEDLINE | ID: mdl-8777329
We have observed seven initially obese individuals who, during the course of a strenuous weight-reduction program, developed diabetes mellitus: non-insulin-dependent diabetes mellitus in five cases and insulin-dependent diabetes mellitus in two cases. None had any sign of prior diabetic symptoms. Although weight reduction is encouraged in obesity, crash diets without proper medical surveillance may have deleterious effects. This sequence of induction of diabetes has not previously been reported in the medical literature. The metabolic situation in extremely low-calorie diets may be comparable to that in starvation. An attempt is made to explain our observation concerning the induction of a diabetic state during such diets, on the basis of increased insulin resistance in states of starvation and anorexia nervosa, with a concomitant role in stress hormones.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inanición / Resistencia a la Insulina / Diabetes Mellitus / Dieta Reductora Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Diabetes Complications Asunto de la revista: ENDOCRINOLOGIA Año: 1996 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inanición / Resistencia a la Insulina / Diabetes Mellitus / Dieta Reductora Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Diabetes Complications Asunto de la revista: ENDOCRINOLOGIA Año: 1996 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos