Title:Insulin Resistance and Diabetes Mellitus in Patients with Systemic Lupus
Erythematosus
Volume: 23
Issue: 4
Author(s): Mario García-Carrasco*, Claudia Mendoza-Pinto, Pamela Munguía-Realpozo, Ivet Etchegaray-Morales, Sandra Karina Vélez-Pelcastre, Socorro Méndez-Martínez, Irma Zamora-Ginez, Luis Guillermo Vázquez de Lara, José Luis Gálvez-Romero and Marco Escamilla-Márquez
Affiliation:
- Department of Rheumatology, Medicine School, Meritorious Autonomous University of Puebla, Puebla, Mexico
Keywords:
Systemic lupus erythematosus, insulin resistance, diabetes mellitus, T2DM, autoimmune disease, prediabetes.
Abstract: Systemic lupus erythematosus (SLE) is an autoimmune disease characterized
by damage to multiple systems and a higher risk of cardiovascular disease. In addition,
several studies have found that insulin resistance (IR) is more prevalent in SLE patients
than controls, increasing the risk of prediabetes, type 2 diabetes mellitus (T2DM) and
morbidity. The objective of this review article was to summarize the most relevant evidence
about the relationship among IR, T2DM and SLE, including the effects of proinflammatory
states, acute-phase proteins, pro-inflammatory cytokines, and pharmacological
SLE treatment. A better understanding of the mechanisms involved in these
comorbidities will allow better treatment strategies.