Glucose Metabolism Recalibration denotes the process of restoring optimal sensitivity and efficiency to insulin signaling pathways and peripheral glucose uptake mechanisms, often following a period of metabolic dysregulation. This clinical goal seeks to re-establish appropriate glycemic control across the diurnal cycle. It is essential for mitigating long-term risks associated with insulin resistance.
Origin
This concept originates from clinical endocrinology and diabetes management, where the focus is on improving the tissue response to endogenous insulin, rather than solely manipulating circulating insulin levels. Recalibration implies returning a system that has drifted from its ideal set-point back toward optimal physiological function. It addresses cellular resistance.
Mechanism
Recalibration is often achieved by decreasing the frequency and magnitude of glucose excursions, thereby reducing chronic hyperinsulinemia, which downregulates insulin receptors. Furthermore, enhancing physical activity during metabolically permissive windows increases GLUT4 translocation independent of excessive insulin signaling. This combination restores the cell’s intrinsic responsiveness to the hormone.
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