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β-cells in youth with impaired glucose tolerance or early type 2 diabetes secrete more insulin and are more responsive than in adults.

Kristina M UtzschneiderMark T TripputiAlexandra KozedubKieren J MatherKristen J NadeauSharon L EdelsteinTamara S HannonSilva A ArslanianMelanie Cree GreenThomas A BuchananSonia CaprioAndrea Marinull null
Published in: Pediatric diabetes (2020)
Model-derived measures of β-cell function provide additional insight into the pathophysiology of type 2 diabetes in youth with higher ISRs and β-cell secretion more responsive to glucose in youth relative to adults even after adjusting for differences in insulin sensitivity. It is unknown whether these findings in youth reflect β-cells that are healthier or whether this is a defect that contributes to more rapid loss of function.
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