INS and familial dilated cardiomyopathy: Diabetic cardiomyopathy (DCM), a multifaceted condition marked by elevated glucose, insulin, HbA1c, oxidative stress, inflammation, lipid levels, electrolyte imbalance, left ventricular hypertrophy, fibrosis, cardiac muscle damage, elevated myocardial enzymes and natriuretic peptides, which are also indicators of heart damage.