Insulin Resistance Market Expected to Witness Strong Growth During the Forecast Period (2026-2036) | DelveInsight

The insulin resistance market is expected to grow steadily over the forecast period (2026–2036). According to DelveInsight's analysis, this growth is driven by the rising global prevalence of obesity and type 2 diabetes, increasing awareness of insulin resistance as a central pathophysiologic driver of multiple metabolic disorders. In addition, the emergence of novel disease-modifying and insulin-sensitizing therapies such as OrsoBio's TLC-3595, Eli Lilly's Retatrutide, AdipoPharma's PATAS, and others is expected to further expand the market.

LAS VEGAS, Feb. 3, 2026 /PRNewswire/ -- DelveInsight's Insulin Resistance Market Insights report includes a comprehensive understanding of current treatment practices, insulin resistance emerging drugs, market share of individual therapies, and current and forecasted market size from 2022 to 2036, segmented into leading markets [the United States, the EU4 (Germany, France, Italy, and Spain), the United Kingdom, and Japan]. 

Insulin Resistance Market Summary

• The total insulin resistance treatment market size is expected to grow positively by 2036 in the leading markets.
• The United States accounts for the largest market size of insulin resistance, in comparison to EU4 (Germany, Italy, France, and Spain), the UK, and Japan.
• Globally, the pooled prevalence of Insulin resistance was estimated at 26.53% in 2025, underscoring its widespread impact across populations.
• Leading insulin resistance companies, such as OrsoBio, Eli Lilly, AdipoPharma, Amgen, and others, are developing new insulin resistance treatment drugs that can be available in the insulin resistance market in the coming years. 
• The promising insulin resistance therapies in clinical trials include TLC-3595, Retatrutide, PATAS, Maridebart cafraglutide, and others.

Discover what is the global insulin resistance market size and forecast to 2036 @ https://www.delveinsight.com/sample-request/insulin-resistance-market?utm_source=cision&utm_medium=pressrelease&utm_campaign=spr

Key Factors Driving the Growth of the Insulin Resistance Market 

• Rising Insulin Resistance Prevalence: The total prevalent cases of insulin resistance will rise steadily, supported by increasing cardio metabolic multimorbidity, earlier onset of metabolic dysfunction in younger adults, persistent socioeconomic and lifestyle risk factors, greater survival of patients with chronic metabolic disease, and expanding use of laboratory-based markers that capture subclinical insulin resistance.
• Advancements in Therapeutic Options: Innovative drug classes, such as GLP-1 receptor agonists and SGLT2 inhibitors, that improve insulin sensitivity and support weight management are being widely adopted, expanding treatment options.
• Launch of Emerging Insulin Resistance Drugs: The dynamics of the insulin resistance market are expected to change in the coming years due to the launch of emerging therapies such as TLC-3595 (OrsoBio), Retatrutide (Eli Lilly), PATAS (AdipoPharma), Maridebart cafraglutide (Amgen), and others.

Insulin Resistance Market Analysis

• Lifestyle modification remains the preferred first-line management for insulin resistance across major guidelines, including those from the United States (ADA/AACE), the United Kingdom (NICE), and Germany/EU (EASD/DDG).
• When lifestyle interventions are insufficient, pharmacologic treatment typically includes insulin sensitizers and incretin-based therapies.
• Metformin remains the cornerstone of therapy across all major guidelines, improving hepatic and peripheral insulin sensitivity while delaying progression to type 2 diabetes.
• Pioglitazone, a thiazolidinedione, enhances insulin sensitivity in adipose tissue and muscle and is selectively used in patients with severe insulin resistance or NAFLD/MASH, despite limitations such as weight gain and edema.
• In Japan, Imeglimin (TWYMEEG) represents a novel mitochondrial-targeted therapy that improves both insulin sensitivity and insulin secretion.
• GLP-1 receptor agonists and dual incretin therapies, including semaglutide (OZEMPIC, RYBELSUS, WEGOVY) and tirzepatide (MOUNJARO, ZEPBOUND), are increasingly adopted due to their strong effects on weight loss, insulin sensitivity, and cardiometabolic risk reduction.
• Adjunctive agents such as DPP-4 inhibitors, SGLT-2 inhibitors, and alpha-glucosidase inhibitors are used to optimize metabolic control but do not primarily target insulin resistance.
• The insulin resistance treatment landscape is evolving beyond currently approved therapies, with growing emphasis on disease-modifying approaches.
• Late-stage and emerging pipeline candidates, including TLC-3595 (OrsoBio) and PATAS (AdipoPharma), aim to directly address insulin resistance by targeting fatty acid oxidation, adipocyte dysfunction, and insulin-independent glucose uptake.
• There are currently no approved therapies specifically indicated for insulin resistance as a standalone condition, representing a substantial unmet medical need and a significant market opportunity for novel agents capable of restoring insulin sensitivity and altering the progression of metabolic disease.

Insulin Resistance Competitive Landscape

Some of the insulin resistance drugs in clinical trials include TLC-3595 (OrsoBio), Retatrutide (Eli Lilly), PATAS (AdipoPharma), Maridebart cafraglutide (Amgen), and others.

OrsoBio's TLC-3595 is a first-in-class, selective inhibitor of acetyl-CoA carboxylase 2 (ACC2) under development to enhance insulin sensitivity in individuals with type 2 diabetes. It works by promoting fatty acid oxidation and lowering ectopic lipid buildup in skeletal muscle and the liver, and is also being investigated for potential benefits in heart failure with preserved ejection fraction (HFpEF).

Eli Lilly's Retatrutide is a once-weekly investigational triple-agonist therapy engineered to simultaneously activate GIP, GLP-1, and glucagon receptors. Eli Lilly is assessing Retatrutide in multiple Phase III studies to evaluate its safety and effectiveness across a wide spectrum of cardiometabolic and obesity-associated disorders.

The anticipated launch of these emerging therapies are poised to transform the insulin resistance market landscape in the coming years. As these cutting-edge therapies continue to mature and gain regulatory approval, they are expected to reshape the insulin resistance market landscape, offering new standards of care and unlocking opportunities for medical innovation and economic growth.

Discover more about which companies are leading the insulin resistance market @ Insulin Resistance Drugs Market 

Recent Developments in the Insulin Resistance Market

• In December 2025, Eli Lilly and Company announced positive topline results from its Phase III TRIUMPH-4 trial of Retatrutide, the investigational once-weekly GIP/GLP-1/glucagon triple hormone receptor agonist, which demonstrated significant weight loss and improvement in knee osteoarthritis pain, and noted that seven additional Phase III trials, including those in obesity and type 2 diabetes, are expected to be completed in 2026.
• In June 2025, AdipoPharma announced that PATAS, its novel insulin-sensitizing peptide targeting adipocyte dysfunction, was recognized at the American Diabetes Association's 85th Annual Meeting in Chicago and featured through a company-submitted video highlighting its unique, disease-modifying approach to treating insulin resistance, the root cause of type 2 diabetes.

What is Insulin Resistance?

Insulin resistance is a condition in which the body's cells, especially those in muscles, fat, and the liver, do not respond effectively to insulin, a hormone that helps regulate blood sugar levels. When this happens, the pancreas compensates by producing more insulin to keep blood glucose within a normal range. Over time, this extra demand can strain the pancreas, leading to persistently high blood sugar and insulin levels. Insulin resistance is a key underlying factor in type 2 diabetes and is commonly associated with obesity, physical inactivity, genetics, and conditions like metabolic syndrome, increasing the risk of heart disease and other health complications.

Insulin Resistance Epidemiology Segmentation

The insulin resistance epidemiology section provides insights into the historical and current insulin resistance patient pool and forecasted trends for the leading markets. In the US, insulin resistance drives 70-90% of type 2 diabetes cases via beta-cell exhaustion and precedes metabolic syndrome in 25-40% of affected adults.

The insulin resistance treatment market report proffers epidemiological analysis for the study period 2022–2036 in the leading markets, segmented into:

• Total Prevalent Cases of Insulin Resistance
• Total Diagnosed Prevalent Cases of Insulin Resistance
• Gender-specific Cases of Insulin Resistance
• Age-specific Cases of Insulin Resistance
• Comorbidity-specific Cases of Insulin Resistance
• Treated Cases of Insulin Resistance

Scope of the Insulin Resistance Market Report

• Therapeutic Assessment: Insulin Resistance current marketed and emerging therapies
• Insulin Resistance Market Dynamics: Key Market Forecast Assumptions of Emerging Insulin Resistance Drugs and Market Outlook
• Competitive Intelligence Analysis: SWOT analysis and Market entry strategies
• Unmet Needs, KOL's views, Analyst's views, Insulin Resistance Market Access and Reimbursement

Download the report to understand what's driving the insulin resistance market growth @ Insulin Resistance Market Forecast

Table of Contents

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SOURCE DelveInsight Business Research, LLP

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