endocrine pancreatic insufficiency may account directly for alterations observed in individuals with decreased or absent insulin response to glucose load , wheras metabolic factors such as adipose mass , hepatic steatosis , and peripheral insulin resistance appear to be responsible for alterations in carbohydrate oxidation and storage in subjects with relative endocrine pancreatic insufficiency , particularly obese diabetics .
C0021641
insulin
C0022131
endocrine