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Emma Ahlqvist Department of Clinical Sciences, Malmö , Lund University, Malmö, Sweden

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Rashmi B Prasad Department of Clinical Sciences, Malmö , Lund University, Malmö, Sweden
Institute for Molecular Medicine Finland (FIMM), Helsinki University, Helsinki, Finland

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Leif Groop Department of Clinical Sciences, Malmö , Lund University, Malmö, Sweden
Institute for Molecular Medicine Finland (FIMM), Helsinki University, Helsinki, Finland

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profound insulin resistance with features of the ‘insulin resistance syndrome’. The large remaining group of T2D is still highly heterogeneous in terms of clinical characteristics, disease progression, treatment responses and risk of complications. Even

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James Cantley School of Medicine, University of Dundee, Dundee, Scotland, UK

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Decio Eizirik ULB Center for Diabetes Research, Medical Faculty, Université Libre De Bruxelles, Brussels, Belgium

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), involving alterations in both insulin secretion and insulin sensitivity (the effectiveness of insulin): some individuals show a severe loss of insulin secretion, whereas others show obesity, insulin resistance and hyperinsulinemia, albeit insufficient to

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Jennifer Chen The Westmead Institute for Medical Research, The University of Sydney Westmead Hospital, New South Wales, Australia

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Jenny E Gunton The Westmead Institute for Medical Research, The University of Sydney Westmead Hospital, New South Wales, Australia
Department of Endocrinology and Diabetes, Westmead Hospital, Sydney, New South Wales, Australia
Garvan Institute of Medical Research, Sydney, New South Wales, Australia
St Vincent’s Clinical School, University of New South Wales, Sydney, New South Wales, Australia

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( Van Assche et al. 1978 , Parsons et al. 1992 , Butler et al. 2010 ). Normal pregnancy is a state of insulin resistance, particularly in the third trimester when some women develop gestational diabetes. Women who maintain normal glucose

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