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Cleistheknees t1_j490tsv wrote

They didn’t define it, just listing some common criteria. The ICD10 criteria for metabolic syndrome (E88.81) includes insulin resistance. In this constellation, IR is nearly 100% coincident with hyperinsulinemia. You can’t have one without the other. Resistance to insulin by definition means the pancreas is secreting more than the observed serum glucose would suggest in an insulin-sensitive person.