Is the Fat Still in the Fire?
Response to Greenfield et al.
- Burton E. Sobel, MD
- From the Department of Medicine, University of Vermont College of Medicine, Burlington, Vermont
- Address correspondence to Burton E. Sobel, MD, Department of Medicine, University of Vermont, Colchester Research Facility, 208 South Park Dr., Colchester, VT 05446. E-mail: burt.sobel{at}vtmednet.org
The comments of Greenfield et al. (1) in this issue of Diabetes Care regarding the recent editorial entitled “Coronary Disease in Type 1 Diabetes: Causal Contiguity and Clinical Implications” (2) are most appreciated. What was stated in the editorial regarding insulin resistance in type 1 diabetes is found in the following paragraph: “On purely statistical grounds, one would anticipate insulin resistance in many people with type 1 diabetes. In addition, however, intensive treatment of type 1 diabetes appears to increase central obesity. In fact, it has been noted that ‘insulin treatment …
