TNF and Hyperglycemia: Subsequently, this might leadto malfunctioning of adipose tissue, the infiltration of macrophages, and an increased secretion of cytokines like TNF-α and IL-6.Extended increases in these markers are linked to endothelial dysfunction, skeletal muscle insulin resistance, and hepatic CRP release.Furthermore, endothelium and macrophages produce IL-6 in response to hyperglycemia, which may exacerbate insulin release and signalingcascades.