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Obesity and diabetes—Not only a simple link between two epidemics
Authors:Agata Chobot  Katarzyna Górowska‐Kowolik  Magdalena Sokołowska  Przemysława Jarosz‐Chobot
Affiliation:1. Department of Pediatric Gastronterology and Hepatology, Clinical Hospital Nr 1, Zabrze, Poland;2. Department of Pediatrics, John Paul II Upper Silesian Child Health Centre, Katowice, Poland;3. Department of Children's Diabetology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland
Abstract:Diabetes (DM) as well as obesity, due to their increasing incidence, were recognized as epidemic by the World Health Organization. Obesity is involved not only in the aetiopathogenesis of the most common worldwide type of DM—type 2 diabetes—but also in the development of its complications. There is also increasing scientific evidence regarding the role of obesity and overweight in type 1 diabetes. Weight gain may be considered as a complication of insulin treatment but also reveals significant pathophysiological impact on various stages of the disease. Another very important aspect related to DM as well as obesity is the microbiome, which is highly variable. The function of the gut microflora, its interaction with the whole organism, and its role in the development of obesity and type 1 diabetes as well as type 2 diabetes are still not fully understood and subject of ongoing investigations. This review presents a summary of recently published results concerning the relation of obesity/overweight and DM as well as their associations with the microbiome.
Keywords:diabetes  epidemiology  insulin resistance  microbiome  obesity  type 1 diabetes  type 2 diabetes
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