I am sure no body has heard about it. Actually it is me that is coining the word for first time.
What every body know is that in type 2 diabetes ,there is insulin resistance. So even if pancreas is working normally and there is enough insulin or may be there is hyperinsulinemia ,still insulin is not doing its work of lowering blood sugar properly. So there is hyperglycaemia .
Now, the same person who has high blood sugar level due to insulin resistance ( endogenous insulin becoming ineffective ), when given insulin from outside ( exogenous insulin ) ,responds quickly and high blood sugar level goes down. Meaning external insulin works while internal insulin is in effective. IS IT NOT A PARADOX ?