{"ad_unit_id":"App_Resource_Sidebar_Upper","resource":{"id":33953370,"author_id":9579832,"title":"Lipid-mediated insulin resistance","created_at":"2021-10-15T23:41:34Z","updated_at":"2021-10-16T04:25:17Z","sample":false,"description":null,"alerts_enabled":true,"cached_tag_list":"","deleted_at":null,"hidden":false,"average_rating":null,"demote":false,"private":false,"copyable":true,"score":30,"artificial_base_score":0,"recalculate_score":false,"profane":false,"hide_summary":false,"tag_list":[],"admin_tag_list":[],"study_aid_type":"MindMap","show_path":"/mind_maps/33953370","folder_id":29716966,"public_author":{"id":9579832,"profile":{"name":"Santiago Felipe 4754","about":null,"avatar_service":"google","locale":"en","google_author_link":null,"user_type_id":247,"escaped_name":"Santiago Felipe Cepeda Silva","full_name":"Santiago Felipe Cepeda Silva","badge_classes":""}}},"width":300,"height":250,"rtype":"MindMap","rmode":"canonical","sizes":"[[[0, 0], [[300, 250]]]]","custom":[{"key":"rsubject","value":"Biología"},{"key":"env","value":"production"},{"key":"rtype","value":"MindMap"},{"key":"rmode","value":"canonical"},{"key":"sequence","value":1},{"key":"uauth","value":"f"},{"key":"uadmin","value":"f"},{"key":"ulang","value":"en_us"},{"key":"ucurrency","value":"usd"}]}
{"ad_unit_id":"App_Resource_Sidebar_Lower","resource":{"id":33953370,"author_id":9579832,"title":"Lipid-mediated insulin resistance","created_at":"2021-10-15T23:41:34Z","updated_at":"2021-10-16T04:25:17Z","sample":false,"description":null,"alerts_enabled":true,"cached_tag_list":"","deleted_at":null,"hidden":false,"average_rating":null,"demote":false,"private":false,"copyable":true,"score":30,"artificial_base_score":0,"recalculate_score":false,"profane":false,"hide_summary":false,"tag_list":[],"admin_tag_list":[],"study_aid_type":"MindMap","show_path":"/mind_maps/33953370","folder_id":29716966,"public_author":{"id":9579832,"profile":{"name":"Santiago Felipe 4754","about":null,"avatar_service":"google","locale":"en","google_author_link":null,"user_type_id":247,"escaped_name":"Santiago Felipe Cepeda Silva","full_name":"Santiago Felipe Cepeda Silva","badge_classes":""}}},"width":300,"height":250,"rtype":"MindMap","rmode":"canonical","sizes":"[[[0, 0], [[300, 250]]]]","custom":[{"key":"rsubject","value":"Biología"},{"key":"env","value":"production"},{"key":"rtype","value":"MindMap"},{"key":"rmode","value":"canonical"},{"key":"sequence","value":1},{"key":"uauth","value":"f"},{"key":"uadmin","value":"f"},{"key":"ulang","value":"en_us"},{"key":"ucurrency","value":"usd"}]}
imbalance between fatty acid uptake and oxidation of fatty acids
ALLOWING
accumulation in cells of specific tissues..
HOWEVER
individuals with IR tend to be characterized by lower mitochondrial density and ATP synthesis in skeletal muscle.
synthesis in skeletal muscle
IT IS PROPOSED THAT
existence of mitochondrial dysfunction in skeletal muscle of individuals with skeletal muscle of individuals with IR
AGREEING
THAT
the determinants of ectopic lipid ectopic lipid accumulation, particularly at the level of skeletal muscle, is an area of
intense study. skeletal muscle correspond to an area of intense study.
to how lipids interfere with insulin signaling. insulin signaling?
KNOWN
diglycerides are able to influence the activity of specific proteins, among them, protein kinase
IN EFFECT PRODUCES
circulating free fatty acids constitute a pro-inflammatory stimulus, given their pro-inflammatory stimulus, given their
ability to bind to membrane receptors such as TLRs.
INSULIN RESISTANCE INSULIN RESISTANCE SYNDROME. STUDY AND MANAGEMENT
Adipose tissue: central organ in inflammation and insulin resistance insulin resistance
ADIPOSE
TISSUE
ADIPOSITE
INFLUENTIAL IN lipogenesis
HYPERTROPHIC ADIPOCYTE
has a higher lipolytic rate
BIG ADIPOCYTES
have increased synthesis and release of adipose tissue secretion products secretion products from adipose tissue
in addition, they secrete lower amounts of adiponectin, one of the few one of the few aipokines with antagonistic effects
to those just described.
ALL OF THIS IS A RISK FACTOR FOR
DIABETES.
IT IS ESTABLISHED THAT
the characteristics of adipose mass expansion of adipose mass will have an important influence on the development of
metabolic alterations characteristic of obesity, including IR.
PATIENTS USUALLY PRESENT WITH
increase in adipose mass concomitant with a
reduction in IR.
Nutritional management of the metabolic syndrome with emphasis on insulin resistance
determining DIET IS ONE OF THE MOST COMPLEX LABORS
Excess body mass is one of the main determinants of an individual's degree of IR. degree of IR of the individual
intervention should be directed at limiting those foods that do not contribute to a healthy diet
understand the ratio of fat to
carbohydrates
under isoenergetic conditions, the effect of the effect of replacing carbohydrates with dietary fat has been evaluated.
carbohydrates
are a major component with great
influence
isolating the nutritional effect of this variable is not simple,
since diets with low vs. high glycemic response tend to vary in content
another important aspect is
fiber and undigested carbohydrates undigested
carbohydrates in the small intestine.
the influence of antioxidants on the control of glycemic homeostasis and insulin sensitivity. insulin sensitivity.
It is recommended that the following values be taken into account:
Pharmacological treatment of metabolic syndrome
So far, no drug has shown the ability to reduce all risk factors for MS.
the researchers concluded that the greatest chances of reversing MS are observed with diet plus
exercise with diet plus exercise interventions
Pharmacological management of insulin resistance
the most commonly used drug is metformin.
Metformin may be beneficial as adjunctive therapy in patients with metabolic syndrome. Metformin
may be beneficial as adjunctive therapy in patients with metabolic syndrome. metabolic syndrome