Abstract

Introduction: Insulin resistance is a feature of a number of clinical disorders, including T2D/glucose intolerance, obesity, dyslipidaemia and hypertension clustering in the so-called metabolic syndrome. Insulin resistance in skeletal muscle manifests itself primarily as a reduction in insulin-stimulated glycogen synthesis due to reduced glucose transport. 
Material and Method: A cross-sectional study was conducted on 100 subjects of type 2 diabetes having an age group of 40-70 years from urban and rural area of Meerut, U.P., India for determination of HOMA-estimated insulin resistance (HOMA-IR).
Result: We found   urban subjects had significantly higher fasting Glucose, fasting insulin and HOMA-IR values than rural subjects (p < 0.001).
Conclusion: Environmental and lifestyle changes resulting from industrialization and migration to urban environment from rural settings may be responsible to a large extent, for this epidemic of insulin resistance in Indians.