It is commonly associated with excess accumulation of body fat.1 Investigation of body fat distribution has demonstrated that visceral abdominal fat is strongly associated with insulin resistance in adults; however, the data on obese adolescents are limited.2 Decreased insulin sensitivity is the greatest risk factor for the development of type 2 diabetes and perhaps the greatest current health threat to children and adolescents.3 Here, INS is linked to type 2 diabetes mellitus.