A quantitative measure reflecting how effectively peripheral tissues, such as muscle and fat, respond to low circulating insulin levels after a period of caloric restriction. High sensitivity indicates that a small amount of insulin is sufficient to maintain normoglycemia, suggesting robust glucose disposal mechanisms. Conversely, low sensitivity, or resistance, necessitates higher insulin output.
Origin
This term is derived from classic endocrinology, combining the state of ‘fasting’ with the concept of ‘insulin sensitivity,’ which quantifies cellular response to the primary anabolic hormone. Its importance is rooted in assessing metabolic health independent of immediate postprandial fluctuations.
Mechanism
Sensitivity is primarily dictated by the density and function of GLUT4 transporters on the cell surface and the integrity of the intracellular insulin receptor substrate signaling cascade. Interventions aim to enhance the downstream effects of insulin binding, often through improving cellular nutrient sensing or reducing intramyocellular lipid accumulation which interferes with signaling.
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