INS and Impaired glucose tolerance: Reduced growth in fetal life has been strongly linked to the development of impaired glucose tolerance and type II diabetes,1 mainly due to altered growth and development of the pancreas.2 Insulin secretion relative to insulin sensitivity is highly impaired in these individuals throughout their lifetime as a consequence of poor growth before birth.3–8 Many models have shown that reduced growth due to poor nutrition increases the risk for adult chronic diseases.