Experimental studies suggest that the biological mechanisms underlying the relation between PM2.5 and DM are related to: a) endothelial dysfunction [18] that precedes insulin resistance and the reduction of peripheral glucose uptake [19]; b) with stress in the endoplasmic reticulum, which results in insulin transductions [20], which in the long-term, impair insulin synthesis and cause apoptosis of pancreatic β cells [21] and c) a decrease of brown adipose tissue, and alterations in mitochondria [6, 19, 20, 22, 23]. Here, INS is linked to diabetes mellitus.