Multiple factors appear to be involved in the pathogenesis of type 2 (non i
nsulin dependent) diabetes mellitus (DM). One of these factors may be iron
overload. This critical review summarizes the major studies on the link bet
ween type 2 DM, insulin resistance, glycemic control, diabetic complication
s and hyperferritinemia. Although some studies suggested that plasma ferrit
in concentration is positively correlated with insulin resistance and with
the risk of acquiring type 2 DM, substantial iron overload is not a typical
feature of DM. There is no correlation between plasma ferritin level and g
lycemic control or diabetic microangiopathic complications.