“…β cell dysfunction and worsening insulin resistance over time lead to deterioration of glycemic control and, as a result, need for more intensive pharmacotherapy [ 9 , 10 ]. Over time, this is usually manifested by a complete inability of the endogenous islet resulting from a loss of β cells [ 10 , 11 , 12 ], which also includes impaired proliferation and dedifferentiation [ 13 , 14 ]. The metabolic stress observed in type 2 diabetes can induce the pro-inflammatory cytokines, tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6), activating a series of complex processes leading to apoptotic death of pancreatic β cells [ 15 , 16 ].…”