胰岛素抵抗主要表现为胰岛素促进外周组织(肌肉、脂肪组织)摄取和利用葡萄糖及抑制肝糖原输出的效应减低,导致机体需要分泌更多的胰岛素方能代偿,最终导致机体的高胰岛素血症[1]。国内外研究表明,心功能衰竭的患者与健康人可能有同样的空腹血糖,但胰岛素水平明显升高,显示心力 Insulin resistance is mainly manifested as insulin to promote the peripheral tissues (muscle, adipose tissue) uptake and utilization of glucose and inhibit hepatic glycogen output reduced effect, leading to the body need to secrete more insulin can be compensated, eventually leading to hyperinsulinemia [1]. Domestic and foreign studies have shown that patients with heart failure and healthy people may have the same fasting blood glucose, but insulin levels were significantly increased, showing heart