中文摘要：

内源性和外源性糖皮质激素过多会导致胰岛素抵抗和发展为糖尿病。糖皮质激素增加循环中葡萄糖、胰岛素和游离脂肪酸（FFA）浓度。循环中FFA增高与肥胖、胰岛素抵抗和2型糖尿病密切相关，其主要来源于脂肪细胞内甘油三酯水解。糖皮质激素刺激脂肪分解、增加FFA构成了激素导致胰岛素抵抗的重要机制之一。

英文摘要：

Obesity, insulin resistance, and type 2 diabetes are associated with elevated concentration of circulating free fatty acid （FFA） , which is critically governed by the process of triglyceride lipolysis in adipocytes. Endogenous and exogenous glucocorticoids excess could induce insulin resistance and diabetes. Thus, the effects of glucocorticoids stimulating adipose lipolysis and elevating FFA release may contribute to glucocorticoids-induced insulin resistance and diabetes. This review focuses on the regulation and function of glucocorticoids in adipose lipolysis and metabolism.